tailieunhanh - Báo cáo khoa học: "Pheochromocytoma presenting with arterial and intracardiac thrombus in a 47-year-old woman: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pheochromocytoma presenting with arterial and intracardiac thrombus in a 47-year-old woman: a case report. | Hou et al. Journal of Medical Case Reports 2011 5 310 http content 5 1 310 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Pheochromocytoma presenting with arterial and intracardiac thrombus in a 47-year-old woman a case report Runhua Hou1 Ann M Leathersich2 and Brenda Temke Ruud1 Abstract Introduction Pheochromocytoma is a rare cause of hypertension but it could have severe consequences if not recognized and treated appropriately. The association of pheochromocytoma and thrombosis is even rarer but significantly increases management complexity morbidity and mortality. To the best of our knowledge this is the first report of a patient with pheochromocytoma presenting with left axillary arterial and intracardiac thrombus. Case presentation A 47-year-old Caucasian woman with a past medical history of hypertension presented for medical attention with left arm numbness. Doppler ultrasound showed an obstructing thrombus in her left axillary artery. She had symptom resolution after stent placement in her left axillary artery. A subsequent echocardiogram demonstrated a large intracardiac mass and abdominal computed tomography revealed a 7 cm mass between her spleen and left kidney. Labile blood pressure was noted during admission and she had very high levels of plasma and 24-hour urine catecholamines and metanephrines tests. A 123 I- metaiodobenzylguanidine scan showed intense uptake in the left abdominal mass. After adequate alpha blockage with phenoxybenzamine laparoscopic tumor resection was performed without complications. She had normal metanephrines and complete symptom resolution afterwards. The intracardiac mass also disappeared with anticoagulation. All other endocrine laboratory abnormalities returned to normal after surgery. Conclusion Arterial and ventricular thrombosis occurring in patients with pheochromocytoma is rare. A multidisciplinary approach is necessary in caring for this type of patient. Catecholamines likely .

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