Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization
The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital wit...
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| Format: | Article |
| Language: | English |
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2021-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/5568978 |
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| author | Takahiro Ichikawa Chikako Oyabu Megumi Minamida Yusuke Ichijo Yoshitaka Hashimoto Mai Asano Hiroya Iwase Toru Tanaka Michiaki Fukui |
| author_facet | Takahiro Ichikawa Chikako Oyabu Megumi Minamida Yusuke Ichijo Yoshitaka Hashimoto Mai Asano Hiroya Iwase Toru Tanaka Michiaki Fukui |
| author_sort | Takahiro Ichikawa |
| collection | DOAJ |
| description | The spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital with a sudden onset of left lateral pain. Computed tomography of the abdomen revealed adrenal hemorrhage with a 5.7 cm adrenal mass, and she was transferred to our hospital for treatment. Considering that she had marked hypertension (193/115 mmHg), we made a provisional diagnosis of left lateral pain due to a ruptured pheochromocytoma. She underwent TAE, and the hemorrhage was successfully controlled. She was started on oral doxazosin for hypertension. The dose of doxazosin was increased to the extent that orthostatic hypotension did not develop, and blood pressure was well controlled. After discharge, the tumor size gradually decreased to approximately 1.0 cm within six months. Six months after TAE, elective laparoscopic surgery was performed, and the diagnosis was confirmed by histopathology. We observed a decrease in the size of the ruptured pheochromocytoma after TAE. To reduce the risk of laparoscopic adrenal surgery, it may be useful to monitor the size of a ruptured pheochromocytoma after TAE before deciding the surgery time. |
| format | Article |
| id | doaj-art-c6356ecff9e1461d9de5b05391deaf13 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
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| series | Case Reports in Medicine |
| spelling | doaj-art-c6356ecff9e1461d9de5b05391deaf132025-02-03T06:43:57ZengWileyCase Reports in Medicine1687-96271687-96352021-01-01202110.1155/2021/55689785568978Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial EmbolizationTakahiro Ichikawa0Chikako Oyabu1Megumi Minamida2Yusuke Ichijo3Yoshitaka Hashimoto4Mai Asano5Hiroya Iwase6Toru Tanaka7Michiaki Fukui8Department of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Radiology, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto First Red Cross Hospital, Kyoto, JapanDepartment of Endocrinology and Metabolism, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, JapanThe spontaneous rupture of a pheochromocytoma is rare and can be potentially fatal. We report a case of a tumor size reduction of a ruptured pheochromocytoma after transcatheter arterial embolization (TAE). A 60-year-old Japanese woman was referred to the emergency department of another hospital with a sudden onset of left lateral pain. Computed tomography of the abdomen revealed adrenal hemorrhage with a 5.7 cm adrenal mass, and she was transferred to our hospital for treatment. Considering that she had marked hypertension (193/115 mmHg), we made a provisional diagnosis of left lateral pain due to a ruptured pheochromocytoma. She underwent TAE, and the hemorrhage was successfully controlled. She was started on oral doxazosin for hypertension. The dose of doxazosin was increased to the extent that orthostatic hypotension did not develop, and blood pressure was well controlled. After discharge, the tumor size gradually decreased to approximately 1.0 cm within six months. Six months after TAE, elective laparoscopic surgery was performed, and the diagnosis was confirmed by histopathology. We observed a decrease in the size of the ruptured pheochromocytoma after TAE. To reduce the risk of laparoscopic adrenal surgery, it may be useful to monitor the size of a ruptured pheochromocytoma after TAE before deciding the surgery time.http://dx.doi.org/10.1155/2021/5568978 |
| spellingShingle | Takahiro Ichikawa Chikako Oyabu Megumi Minamida Yusuke Ichijo Yoshitaka Hashimoto Mai Asano Hiroya Iwase Toru Tanaka Michiaki Fukui Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization Case Reports in Medicine |
| title | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
| title_full | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
| title_fullStr | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
| title_full_unstemmed | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
| title_short | Changes in the Size of a Ruptured Pheochromocytoma after Transcatheter Arterial Embolization |
| title_sort | changes in the size of a ruptured pheochromocytoma after transcatheter arterial embolization |
| url | http://dx.doi.org/10.1155/2021/5568978 |
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