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2018 ; 97
(25
): e11054
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English Wikipedia
Pheochromocytoma crisis presenting with hypotension, hemoptysis, and abnormal
liver function: A case report
#MMPMID29923996
Wu R
; Tong N
; Chen X
; Xu S
; Zhang F
; Tang L
; Zhang Y
Medicine (Baltimore)
2018[Jun]; 97
(25
): e11054
PMID29923996
show ga
RATIONALE: Pheochromocytomas are rare catecholamine-secreting tumors arising from
adrenomedullary chromaffin cells, usually causing hypertension, palpitation and
headache. However, pheochromocytoma crisis, on the contrary, might present with
hypotension, multiple organ dysfunction or even mimicking other diseases, leaving
physician with diagnostic difficulties. In this study, we present a case featured
hypotension, shock and multiple organ dysfunction syndrome on admission, which
nearly lead us to miss the diagnosis of pheochromocytoma. PATIENT CONCERNS: A
14-year-old female student presented with cough, hemoptysis and dyspnea for one
week was reported. DIAGNOSES: The laboratory test showed significantly increase
in plasma norepinephrine and 24-hour urine norepinephrine, the enhanced CT of
bilateral adrenal gland showed two round-like masses (left: 4?×?5?×?3?cm; right:
6?×?4?×?3?cm) with soft tissue density in each adrenal gland. The post-surgical
pathology confirmed the diagnosis of pheochromocytoma. INTERVENTIONS: The
resection of bilateral adrenal tumors was conducted after the preoperative
medical treatment of phenoxybenzamine for two weeks. OUTCOMES: The patient
underwent follow-up for a year and a half and showed no signs of recurrence.
LESSONS: The diagnosis and treatment process of the patient in this study
indicates us that when we meet a patient with hypotension and multiple organ
dysfunctions in a relatively short time, the suspicion of pheochromocytoma should
not be missed.