Williams A J, Palmer K R
Department of Medicine, Royal Adelaide Hospital, SA.
Aust N Z J Med. 1991 Dec;21(6):888-90. doi: 10.1111/j.1445-5994.1991.tb01416.x.
Phaeochromocytoma is a rare tumour which may present with gastrointestinal features. We report two patients who presented with severe constipation and were found to have a malignant phaeochromocytoma. Both patients deteriorated following barium contrast radiology. In the first patient, constipation improved following pharmacological manipulation with alpha and beta adrenoreceptor antagonists. The diagnosis of phaeochromocytoma must be considered in a constipated patient with the features of catecholamine excess.
嗜铬细胞瘤是一种罕见的肿瘤，可能表现出胃肠道症状。我们报告了两名以严重便秘为表现且被发现患有恶性嗜铬细胞瘤的患者。两名患者在进行钡剂造影检查后病情均恶化。在第一名患者中，使用α和β肾上腺素能受体拮抗剂进行药物治疗后便秘有所改善。对于有儿茶酚胺过量特征的便秘患者，必须考虑嗜铬细胞瘤的诊断。
