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
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author Inaba, Hidefumi
Kaido, Yosuke
Kosugi, Daisuke
Asai, Yuki
Ogino, Shinya
Nakano, Shogo
Ito, Saya
Hirobata, Tomonao
Ono, Kazuo
Minaga, Kosuke
Morita, Shuhei
Inoue, Gen
author_facet Inaba, Hidefumi
Kaido, Yosuke
Kosugi, Daisuke
Asai, Yuki
Ogino, Shinya
Nakano, Shogo
Ito, Saya
Hirobata, Tomonao
Ono, Kazuo
Minaga, Kosuke
Morita, Shuhei
Inoue, Gen
author_sort Inaba, Hidefumi
collection PubMed
description 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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spelling pubmed-103722642023-07-28 Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis Inaba, Hidefumi Kaido, Yosuke Kosugi, Daisuke Asai, Yuki Ogino, Shinya Nakano, Shogo Ito, Saya Hirobata, Tomonao Ono, Kazuo Minaga, Kosuke Morita, Shuhei Inoue, Gen Intern Med Case Report 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. The Japanese Society of Internal Medicine 2022-11-23 2023-07-01 /pmc/articles/PMC10372264/ /pubmed/36418097 http://dx.doi.org/10.2169/internalmedicine.0742-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Inaba, Hidefumi
Kaido, Yosuke
Kosugi, Daisuke
Asai, Yuki
Ogino, Shinya
Nakano, Shogo
Ito, Saya
Hirobata, Tomonao
Ono, Kazuo
Minaga, Kosuke
Morita, Shuhei
Inoue, Gen
Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title_full Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title_fullStr Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title_full_unstemmed Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title_short Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis
title_sort pheochromocytoma multisystem crisis complicated by severe acute pancreatitis
topic Case Report
url 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
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