A case of pheochromocytoma crisis with persistent hypotension successfully managed with vasopressin

被引：3

作者：

Chiba, Daigo ^{[1
,3
]}

Hada, Yurika ^{[2
]}

Numahata, Kenji ^{[1
]}

Ito, Akihiro ^{[3
]}

机构：

[1] Yamagata Prefectural Cent Hosp, Dept Urol, Aoyagi 1800, Yamagata, Yamagata 9902292, Japan

[2] Yamagata Prefectural Cent Hosp, Dept Diabet Metab, Yamagata, Japan

[3] Tohoku Univ, Dept Urol, Sch Med, Sendai, Miyagi, Japan

来源：

UROLOGY CASE REPORTS | 2021年 / 38卷

关键词：

Pheochromocytoma crisis; Hypotension; Vasopressin;

D O I：

10.1016/j.eucr.2021.101664

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

We report the first case of pheochromocytoma crisis with hypotension that was successfully treated with vasopressin. A 64-year-old patient was diagnosed as pheochromocytoma crisis. Although irregularities in circulating plasma volume were corrected by fluid management, hypotension due to vasodilation persisted. Since it was considered to be desirable to use a vasoconstrictor whose action was not mediated via adrenergic receptors, we administrated vasopressin as a non-adrenergic vasopressor. Consequently, sufficient vasoconstriction and pressor effect were achieved without any complications. Finally, the adrenalectomy was performed safely. Vasopressin might be effective and safe treatment for pheochromocytoma crisis with hypotension caused by vasodilation.

引用

页数：3

共 5 条

[1] Vasopressin: physiology, assessment and osmosensation [J].