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Spontaneous ruptured pheochromocytoma: an unusual case report and literature review.

Authors
  • Jee, Ye Seob1
  • 1 Department of Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. , (North Korea)
Type
Published Article
Journal
Annals of surgical treatment and research
Publication Date
Sep 01, 2017
Volume
93
Issue
3
Pages
170–172
Identifiers
DOI: 10.4174/astr.2017.93.3.170
PMID: 28932734
Source
Medline
Keywords
License
Unknown

Abstract

Ruptured pheochromocytoma is a rare disease. Its mortality rate is up to 31%-50%. Proper management of ruptured pheochromocytoma remains unclear. A 44-year-old male patient visited our Emergency Department and presented with abrupt onset of left flank pain. His blood pressure was 190/140 mmHg with purse rate of 130 beats/min. CT scan showed 8.1 × 5.6-cm-sized heterogeneously mass with rupture on the left retroperitoneal space and active bleeding. His symptom of abdominal pain was aggravated. Follow-up laboratory analysis revealed elevated WBC count and decreased hemoglobin 2 hours after admission. Emergency laparotomy was performed. We resected the ruptured left retroperitoneal mass and hemostasis. Pathologic exams revealed adrenal pheochromocytoma with rupture. Although our patient was alive, according to literature review, mortality rate of emergency operation without medical management is higher than elective operation after blood pressure control with either medical or interventional methods such as transcatheter arterial embolization.

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