Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture

被引：7

作者：

Edo, Naoki ^{[1
]}

Yamamoto, Takahiro ^{[2
]}

Takahashi, Satoshi ^{[1
]}

Mashimo, Yamato ^{[1
]}

Morita, Koji ^{[1
]}

Saito, Koji ^{[3
]}

Kondo, Hiroshi ^{[2
]}

Sasajima, Yuko ^{[3
]}

Kondo, Fukuo ^{[3
]}

Okinaga, Hiroko ^{[1
]}

Tsukamoto, Kazuhisa ^{[1
]}

Ishikawa, Toshio ^{[1
]}

机构：

[1] Teikyo Univ, Sch Med, Dept Internal Med, Tokyo, Japan

[2] Teikyo Univ, Sch Med, Dept Radiol, Tokyo, Japan

[3] Teikyo Univ, Sch Med, Dept Pathol, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 13期

关键词：

pheochromocytoma; transarterial chemoembolization; rupture; hemorrhaging; HEMORRHAGE;

D O I：

10.2169/internalmedicine.9907-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pheochromocytoma rupture is rare, and emergent adrenalectomy is associated with a high mortality. We herein report a patient with pheochromocytoma rupture who was stabilized by transcatheter arterial embolization (TAE) and subsequently underwent elective surgery. A 45-year-old man presented with the sudden onset of left lateral abdominal pain, headache, chest discomfort, high blood pressure, and adrenal hemorrhaging on enhanced abdominal computed tomography. TAE was performed under a provisional diagnosis of pheochromocytoma rupture. Following oral doxazosin, he underwent elective left adrenalectomy four and a half months after TAE. Stabilizing the hemodynamic status by TAE before adrenalectomy is a viable option for treating pheochromocytoma rupture.

引用

页码：1873 / 1878

页数：6

共 14 条

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