01 January 2003
A diagnostically difficult case of recurrent multiple extraadrenal pheochromocytoma in a patient with long-term history of essential hypertension
Beata Krasińska, Andrzej Tykarski, Zbigniew Krasiński, Jerzy GłuszekCase Rep Clin Pract Rev 2003; 4(1):53-56 :: ID: 429028
Abstract
Background: The case of a 50-year-old female with hypertension is reported. Two years after the diagnosis of hypertension, the patient developed complications such as myocardial infarction and stroke. Problems encountered during diagnostics and treatment, as well as the atypical course of the disease caused by multiple pheochromocytoma induced the authors to present the case. Case Report: Computed tomography performed because of acute abdominal pains revealed tumors in the retroperitoneal space, which were removed during exploratory laparotomy. Pheochromocytoma was diagnosed by histopathology. The level of vanilyl-mandelic acid determined after the surgery was still increased. Another single tumor was detected in color MIBG scanning. It was removed during the second operation. After the second surgery, normalization of laboratory results was obtained. A year later, the patient underwent surgery once again because of recurrence of symptoms and the presence of a new tumor in the retroperitoneal space. Despite the operation, the level of catecholamines has increased again. Conclusions: The reported case represented almost all atypical features of the clinical presentation of pheochromocytoma. The above clinical case leads to the following conclusions: 1. Pheochromocytoma should be excluded in cases of hypertension with atypical course. 2. Radical surgical treatment of multiple pheochromocytoma is difficult and should be preceded by MIBG scanning in each case to increase its effectiveness. 3. The history of recurrent pheochromocytoma should provide an indication for periodic postoperative monitoring of available biochemical parameters, even during the periods of clinical remission
Keywords: Hypertension, Pheochromocytoma, tumor, Retroperitoneal Space
51
In Press
19 Mar 2024 : Case report
Bilateral Simultaneous Basal Ganglia Hemorrhage: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.943174
19 Mar 2024 : Case report
Medial Hoffa Fracture: A Case Report and Literature Review of Approach and ManagementAm J Case Rep In Press; DOI: 10.12659/AJCR.943136
21 Mar 2024 : Case report
Pediatric Neurogenic Pulmonary Edema After Brain Tumor Removal Complicated with Severe Myocardial Injury: A...Am J Case Rep In Press; DOI: 10.12659/AJCR.943645
21 Mar 2024 : Case report
Chlamydia psittaci Pneumonia: Diagnosis, Treatment, and Challenges in the Context of COVID-19Am J Case Rep In Press; DOI: 10.12659/AJCR.942921
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250