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Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture

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...

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Autores principales: Edo, Naoki, Yamamoto, Takahiro, Takahashi, Satoshi, Mashimo, Yamato, Morita, Koji, Saito, Koji, Kondo, Hiroshi, Sasajima, Yuko, Kondo, Fukuo, Okinaga, Hiroko, Tsukamoto, Kazuhisa, Ishikawa, Toshio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064710/
https://www.ncbi.nlm.nih.gov/pubmed/29491290
http://dx.doi.org/10.2169/internalmedicine.9907-17
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author Edo, Naoki
Yamamoto, Takahiro
Takahashi, Satoshi
Mashimo, Yamato
Morita, Koji
Saito, Koji
Kondo, Hiroshi
Sasajima, Yuko
Kondo, Fukuo
Okinaga, Hiroko
Tsukamoto, Kazuhisa
Ishikawa, Toshio
author_facet Edo, Naoki
Yamamoto, Takahiro
Takahashi, Satoshi
Mashimo, Yamato
Morita, Koji
Saito, Koji
Kondo, Hiroshi
Sasajima, Yuko
Kondo, Fukuo
Okinaga, Hiroko
Tsukamoto, Kazuhisa
Ishikawa, Toshio
author_sort Edo, Naoki
collection PubMed
description 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.
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spelling pubmed-60647102018-07-30 Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture Edo, Naoki Yamamoto, Takahiro Takahashi, Satoshi Mashimo, Yamato Morita, Koji Saito, Koji Kondo, Hiroshi Sasajima, Yuko Kondo, Fukuo Okinaga, Hiroko Tsukamoto, Kazuhisa Ishikawa, Toshio Intern Med Case Report 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. The Japanese Society of Internal Medicine 2018-02-28 2018-07-01 /pmc/articles/PMC6064710/ /pubmed/29491290 http://dx.doi.org/10.2169/internalmedicine.9907-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article 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
Edo, Naoki
Yamamoto, Takahiro
Takahashi, Satoshi
Mashimo, Yamato
Morita, Koji
Saito, Koji
Kondo, Hiroshi
Sasajima, Yuko
Kondo, Fukuo
Okinaga, Hiroko
Tsukamoto, Kazuhisa
Ishikawa, Toshio
Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title_full Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title_fullStr Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title_full_unstemmed Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title_short Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture
title_sort optimizing hemodynamics with transcatheter arterial embolization in adrenal pheochromocytoma rupture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064710/
https://www.ncbi.nlm.nih.gov/pubmed/29491290
http://dx.doi.org/10.2169/internalmedicine.9907-17
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