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自发性破裂嗜铬细胞瘤:一例报告

Spontaneous ruptured pheochromocytoma: a case report.

作者信息

Rossi A, Picchio M, Palimento D, Calì B, Caliendo A

机构信息

Division of Surgery, Hospital S. Paolo, Napoli.

出版信息

G Chir. 2007 Nov-Dec;28(11-12):425-7.

PMID:18035009
Abstract

We present a rare case of intra-abdominal hemorrhage due to a ruptured pheochromocytoma. Our patient presented with signs of shock. By emergency surgery, an hemorrhagic pheochromocytoma of the left adrenal gland was removed. Recovery was uneventful. In cases of suspected hemorrhagic pheochromocytoma with severe shock, prompt surgery is mandatory and catecholamines administration may be crucial to resolve hypotension and guarantee an uneventful recovery.

摘要

我们报告一例因嗜铬细胞瘤破裂导致腹腔内出血的罕见病例。我们的患者出现休克体征。通过急诊手术,切除了左侧肾上腺的出血性嗜铬细胞瘤。恢复过程顺利。对于疑似出血性嗜铬细胞瘤且伴有严重休克的病例,及时手术是必要的,使用儿茶酚胺可能对纠正低血压和确保顺利康复至关重要。

相似文献

1
Spontaneous ruptured pheochromocytoma: a case report.自发性破裂嗜铬细胞瘤:一例报告
G Chir. 2007 Nov-Dec;28(11-12):425-7.
2
[Pheochromocytoma with hemorrhagic necrosis and rupture with symptoms of acute abdomen and shock].[嗜铬细胞瘤伴出血性坏死及破裂,出现急腹症和休克症状]
Pol Arch Med Wewn. 1996 Jul;96(1):58-61.
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Catecholamine crisis due to spontaneous ruptured adrenal pheochromocytoma.自发性破裂肾上腺嗜铬细胞瘤导致的儿茶酚胺危象
J Cardiovasc Med (Hagerstown). 2011 Jul;12(7):518-9. doi: 10.2459/JCM.0b013e328346a6ea.
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Spontaneous rupture of adrenal pheochromocytoma: review and analysis of prognostic factors.肾上腺嗜铬细胞瘤自发性破裂:预后因素的综述与分析
J Surg Oncol. 2005 Apr 1;90(1):31-5. doi: 10.1002/jso.20234.
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[Rupture of a pheochromocytoma into the free abdominal cavity. Case report].
Chirurg. 1982 Mar;53(3):154-6.
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Repetitive bleeding from a pheochromocytoma presenting as an abdominal emergency. Case report.嗜铬细胞瘤反复出血表现为腹部急症。病例报告。
Acta Chir Scand. 1986 Jan;152:69-70.
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Traumatic hemorrhage of occult pheochromocytoma: a case report and review of the literature.隐匿性嗜铬细胞瘤创伤性出血:一例报告并文献复习
Am Surg. 2000 Aug;66(8):720-4.
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Lethal posttraumatic rupture of a pheochromocytoma: lesson from a postmortem diagnosis.嗜铬细胞瘤创伤后致死性破裂:尸检诊断的教训
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Acute retroperitoneal hemorrhage and shock as presenting signs of neuroblastoma in an infant.急性腹膜后出血和休克作为婴儿神经母细胞瘤的首发症状。
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Cardiogenic shock with basal transient left ventricular ballooning (Takotsubo-like cardiomyopathy) as first presentation of pheochromocytoma.以基底节短暂性左心室球囊样变(Takotsubo 样心肌病)为首发表现的心原性休克合并嗜铬细胞瘤。
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引用本文的文献

1
Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review.溶栓治疗急性心肌梗死后肾上腺嗜铬细胞瘤灾难性出血:病例报告及文献复习。
World J Emerg Surg. 2014 Sep 20;9(1):50. doi: 10.1186/1749-7922-9-50. eCollection 2014.
2
Spontaneous adrenal hemorrhage with associated masses: etiology and management in 6 cases and a review of 133 reported cases.伴有肿块的自发性肾上腺出血:6 例病例的病因和治疗及对 133 例报道病例的回顾。
World J Surg. 2012 Jan;36(1):75-82. doi: 10.1007/s00268-011-1338-6.