Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization
The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital wit...
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Published in | Case reports in medicine Vol. 2021; pp. 5568978 - 5 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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Hindawi
05.04.2021
Hindawi Limited Wiley |
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Abstract | The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital with a sudden onset of left lateral pain. Computed tomography of the abdomen revealed adrenal hemorrhage with a 5.7 cm adrenal mass, and she was transferred to our hospital for treatment. Considering that she had marked hypertension (193/115 mmHg), we made a provisional diagnosis of left lateral pain due to a ruptured pheochromocytoma. She underwent TAE, and the hemorrhage was successfully controlled. She was started on oral doxazosin for hypertension. The dose of doxazosin was increased to the extent that orthostatic hypotension did not develop, and blood pressure was well controlled. After discharge, the tumor size gradually decreased to approximately 1.0 cm within six months. Six months after TAE, elective laparoscopic surgery was performed, and the diagnosis was confirmed by histopathology. We observed a decrease in the size of the ruptured pheochromocytoma after TAE. To reduce the risk of laparoscopic adrenal surgery, it may be useful to monitor the size of a ruptured pheochromocytoma after TAE before deciding the surgery time. |
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AbstractList | The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital with a sudden onset of left lateral pain. Computed tomography of the abdomen revealed adrenal hemorrhage with a 5.7cm adrenal mass, and she was transferred to our hospital for treatment. Considering that she had marked hypertension (193/115mmHg), we made a provisional diagnosis of left lateral pain due to a ruptured pheochromocytoma. She underwent TAE, and the hemorrhage was successfully controlled. She was started on oral doxazosin for hypertension. The dose of doxazosin was increased to the extent that orthostatic hypotension did not develop, and blood pressure was well controlled. After discharge, the tumor size gradually decreased to approximately 1.0cm within six months. Six months after TAE, elective laparoscopic surgery was performed, and the diagnosis was confirmed by histopathology. We observed a decrease in the size of the ruptured pheochromocytoma after TAE. To reduce the risk of laparoscopic adrenal surgery, it may be useful to monitor the size of a ruptured pheochromocytoma after TAE before deciding the surgery time. The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital with a sudden onset of left lateral pain. Computed tomography of the abdomen revealed adrenal hemorrhage with a 5.7 cm adrenal mass, and she was transferred to our hospital for treatment. Considering that she had marked hypertension (193/115 mmHg), we made a provisional diagnosis of left lateral pain due to a ruptured pheochromocytoma. She underwent TAE, and the hemorrhage was successfully controlled. She was started on oral doxazosin for hypertension. The dose of doxazosin was increased to the extent that orthostatic hypotension did not develop, and blood pressure was well controlled. After discharge, the tumor size gradually decreased to approximately 1.0 cm within six months. Six months after TAE, elective laparoscopic surgery was performed, and the diagnosis was confirmed by histopathology. We observed a decrease in the size of the ruptured pheochromocytoma after TAE. To reduce the risk of laparoscopic adrenal surgery, it may be useful to monitor the size of a ruptured pheochromocytoma after TAE before deciding the surgery time. |
Audience | Academic |
Author | Tanaka, Toru Minamida, Megumi Ichijo, Yusuke Iwase, Hiroya Fukui, Michiaki Oyabu, Chikako Asano, Mai Ichikawa, Takahiro Hashimoto, Yoshitaka |
AuthorAffiliation | 2 Department of Radiology, Kyoto First Red Cross Hospital, Kyoto, Japan 3 Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan 1 Department of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, Japan |
AuthorAffiliation_xml | – name: 1 Department of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, Japan – name: 3 Department of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan – name: 2 Department of Radiology, Kyoto First Red Cross Hospital, Kyoto, Japan |
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ContentType | Journal Article |
Copyright | Copyright © 2021 Takahiro Ichikawa et al. COPYRIGHT 2021 Hindawi Limited Copyright © 2021 Takahiro Ichikawa et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0 Copyright © 2021 Takahiro Ichikawa et al. 2021 |
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References | S. Mukai (8) 2013; 33 11 1 12 3 M. Maruyama (6) 2008; 33 4 A. Hamdan (5) 2002; 4 J. L. Marti (2) 2002; 36 7 9 10 |
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Snippet | The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma... |
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SubjectTerms | Blood pressure Case Report Case reports Catecholamines Computed tomography Diagnosis Embolization Emergency medical care Hematoma Hemodynamics Hemorrhage Hospitals Hypertension Hypotension Laparoscopy Mortality Pain Pheochromocytoma Plasma Risk factors Surgery |
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Title | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
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