A rare cause of acute abdomen: Ruptured adrenal pheochromocytoma

Okutur, Kerem; Küçükler, Kerim; Öztekin, Erkan; Borlu, Fatih; Erdem, Levent; Demir, Gökhan

doi:10.4318/tjg.2010.0141

Cited by 6 publications

(10 citation statements)

References 8 publications

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“…In the literature, it has been found that emergency surgery without suitable BP checks and an incorrect preoperative diagnosis are strongly associated with a worse prognosis [3]. The death rate for the 54 cases in the literature was 34% [1,7]. Because the diagnosis was not made preoperatively, we could not give the patient α-adrenergic blockage therapy, instead, the patient was only given crystalloid fluid and erythrocyte suspension.…”

Section: Discussionmentioning

confidence: 99%

“…The primary symptoms are persistent or paroxysmal hypertension, tachycardia, diaphoresis, and headache. Rarely, the rupture of the tumoral mass or bleeding inside the mass can lead to the acute abdomen [1]. Because it is a vascular tumor, small hemorrhages and hemorrhagic necrosis are usually found in resected tumors; severe hemorrhage and necrosis, which can occur due to the acute abdominal syndrome are uncommon [2].…”

Section: Introductionmentioning

confidence: 99%

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A case of ruptured pheochromocytoma causing loss of life of a patient due to delay in diagnosis

Toktaş¹,

Batur²,

Eryılmaz³

et al. 2019

Int Med

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Ruptured pheochromocytoma is an unusual condition, with a mortality rate reaching 31-50%. We describe a case of ruptured pheochromocytoma that was initially mistaken for acute inferior myocardial infarction. On computed tomography, a hemorrhagic mass surrounding the kidney in the region of the right adrenal was observed, but its origin could not clearly be distinguished. On laparotomy, a ruptured and hemorrhagic mass with common necrotic areas was seen, and this was excised successfully. After surgery, the patient experienced a sudden drop in blood pressure. In the postoperative period in the intensive care unit, cardiac arrest occurred. The patient could not be saved. The histological evaluation of the mass showed that it was pheochromocytoma. A surgery combined with early diagnosis and appropriate preoperative treatment may be life-saving. We think that this phenomenon is reminiscent of the adage that an "acute abdomen is filled with surprises".

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A case of ruptured pheochromocytoma causing loss of life of a patient due to delay in diagnosis

Toktaş¹,

Batur²,

Eryılmaz³

et al. 2019

Int Med

View full text Add to dashboard Cite

show abstract

“…Other reported causes include adrenal cancer, metastatic tumor (5), adrenal cyst (6), pheochromocytoma (2,3), neoplastic lesions such as myelolipoma, hemorrhagic diathesis due to coagulation disorders such as antiphospholipid syndrome (7), or use of oral anticoagulant agents, accompanying stress, sepsis, and idiopathic adrenal hemorrhage of unknown cause (1). …”

Section: Discussionmentioning

confidence: 99%

“…Thus, urinary cortisol and catecholamines were elevated. We suspected that these elevated values were due to stress and performed precautionary 131I-MIBG scintigraphy because it has been reported that adrenal hemorrhage might develop as a complication of pheochromocytoma (2,3). However, no clear uptake was observed in the adrenal gland, and re-testing performed approximately two months later revealed that all of the adrenal hormones had normalized (data not shown).…”

Section: Case Reportmentioning

confidence: 99%

Conservative Treatment for Idiopathic Adrenal Hemorrhage Tracked by a Long-term Series of CT Images

et al. 2017

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A 55-year-old man was transported to our hospital after a sudden onset of left lower abdominal pain while driving. Computed tomography (CT) of the abdominal region revealed an extensive iso-intense signal region that had a maximum area of 14×15 cm, which we treated conservatively. A series of follow-up CT images showed the gradual decrease of the left peritoneal mass, while continuity with the left adrenal gland became apparent. He was diagnosed with idiopathic adrenal hemorrhage. Adrenal hemorrhage presenting with huge retroperitoneal tumors is rare, and most cases are treated surgically. Therefore, CT images with conservative treatment are rare, holding both clinical interest and significance.

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“…In most cases, patients presented with an acute onset of abdominal pain. Signs of severe peripheral vasoconstriction (cold, sweating, and pale extremities) due to the release of catecholamine were usually associated [14]. Occasionally, other symptoms like chest pain or lumbar pain were seen in 15% and 25% of cases, respectively [6–20].…”

Section: Discussionmentioning

confidence: 99%

Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review

et al. 2014

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We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological findings. The patient died a few hours after surgery from multiorgan failure despite resuscitation attempts. This report discusses the diagnosis difficulties, treatment approach, and relevant literature.

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A rare cause of acute abdomen: Ruptured adrenal pheochromocytoma

Cited by 6 publications

References 8 publications

A case of ruptured pheochromocytoma causing loss of life of a patient due to delay in diagnosis

A case of ruptured pheochromocytoma causing loss of life of a patient due to delay in diagnosis

Conservative Treatment for Idiopathic Adrenal Hemorrhage Tracked by a Long-term Series of CT Images

Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review

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