Spontaneous rupture of adrenal pheochromocytoma: Review and analysis of prognostic factors

Kobayashi, Takashi; Iwai, Akira; Takahashi, Ryōsuke; Ide, Yoshihiro; Nishizawa, Koji; Mitsumori, Kenji

doi:10.1002/jso.20234

Cited by 66 publications

(78 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the patient can be stabilized, surgery should be delayed to allow adequate medical preparation because this improves survival [16,17]. The prognosis for these patients is grave if diagnosis is delayed.…”

Section: Multisystem Failurementioning

confidence: 99%

Emergencies Caused by Pheochromocytoma, Neuroblastoma, or Ganglioneuroma

Brouwers

Eisenhofer

Lenders

et al. 2006

Endocrinology and Metabolism Clinics of North America

View full text Add to dashboard Cite

This article reviews emergency situations caused by diseases of the sympathetic nervous system. Pheochromocytoma is discussed first and most extensively, because there are numerous reports in the literature on patients with (unsuspected) pheochromocytoma presenting as an emergency. Two other tumors of the sympathetic nervous system are then discussed that less commonly result in endocrine emergencies: neuroblastoma and ganglioneuroma. PheochromocytomaParagangliomas are rare catecholamine-producing tumors derived from chromaffin cells that can be fatal if left undiagnosed.

show abstract

Section: Multisystem Failurementioning

confidence: 99%

Emergencies Caused by Pheochromocytoma, Neuroblastoma, or Ganglioneuroma

Brouwers

Eisenhofer

Lenders

et al. 2006

Endocrinology and Metabolism Clinics of North America

View full text Add to dashboard Cite

show abstract

“…In the preoperative preparation for suspected pheochromocytoma it has been found that even in the clearly diagnosed patient the death rate of the emergency adrenal resection is far higher than the one of the scheduled surgery after conservative treatment [20]. We treated this case, as functional pheochromocytoma during the perioperative preparation, although there were not enough evidence supporting that the tumor was pheochromocytoma, before the operation.…”

Section: Discussionmentioning

confidence: 91%

Pheochromocytoma: A Case Report and Literature Review

Chen¹,

Xuelian²,

Chen³

et al. 2017

J Diabetes Metab

View full text Add to dashboard Cite

Objective: We present a case of pheochromocytoma with fatal paroxysmal dyspnea hemoptysis and shock. A systematic review of literature on pheochromocytoma was performed to improve the understanding of the clinical manifestation, diagnosis and treatment of a typical pheochromocytoma. Methods:The clinical manifestation, diagnostic examination, operation mode and pathological characteristics of the typical pheochromocytoma, were analyzed and summarized. Simultaneously relevant literature was reviewed. Results:A 29-year-old male was diagnosed with pheochromocytoma with hemorrhagic cysts though without any typical clinical manifestation such as paroxysmal hypertension headache diaphoresis and palpitation. We treated this case as functional pheochromocytoma during the perioperative preparation although there were not enough evidence supporting that the tumor was pheochromocytoma. After sufficient preoperative preparation one of the adrenal grands was surgical resected and the diagnosis was confirmed on histopathology. Postoperation follow-up showed that the patient had a good prognosis after six months. Conclusion:The manifestations as we reported in this article fatal paroxysmal dyspnea hemoptysis and shock are quite rare as initial manifestations in pheochromocytoma. It showed that the initial manifestations of pheochromocytoma are complicated and deserve an appropriate examination and careful handling, which might reduce the misdiagnosis and surgical risk.

show abstract

“…In these circumstances, the necessary immediate surgery is connected with a great risk of overproduction of pressive amines and instability of circulatory system. The risk is even greater in individuals, in whom previous diagnosis of phaechromocytoma was not established [11,12].…”

Section: Discussionmentioning

confidence: 99%