Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis

A 43-year-old man developed headache, dizziness, abdominal pain, and vomiting. His blood pressure was 203/121 mmHg, heart rate 122 beats/min, body temperature 39.1°C, and respiratory rate 24/min. He had elevated levels of creatinine at 2.95 mg/dL and lipase at 1,364 U/L as well as an extremely low c...

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Detalles Bibliográficos
Autores principales: Inaba, Hidefumi, Kaido, Yosuke, Kosugi, Daisuke, Asai, Yuki, Ogino, Shinya, Nakano, Shogo, Ito, Saya, Hirobata, Tomonao, Ono, Kazuo, Minaga, Kosuke, Morita, Shuhei, Inoue, Gen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10372264/
https://www.ncbi.nlm.nih.gov/pubmed/36418097
http://dx.doi.org/10.2169/internalmedicine.0742-22
Descripción
Sumario:A 43-year-old man developed headache, dizziness, abdominal pain, and vomiting. His blood pressure was 203/121 mmHg, heart rate 122 beats/min, body temperature 39.1°C, and respiratory rate 24/min. He had elevated levels of creatinine at 2.95 mg/dL and lipase at 1,364 U/L as well as an extremely low calcium level at 5.2 mg/dL. Hypertriglyceridemia and hyperglycemia were seen. Chest and abdominal computed tomography showed interstitial pneumonia, severe pancreatitis, and a right adrenal tumor. The patient also developed vertebral artery dissection and medullary infarction. After right adrenalectomy, the patient was diagnosed with pheochromocytoma multisystem crisis (PMC). Acute pancreatitis might augment numerous life-threatening manifestations of PMC.

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