嗜铬细胞瘤中自发性肾上腺出血的计算机断层扫描表现。

Computed tomography appearance of spontaneous adrenal hemorrhage in a pheochromocytoma.

作者信息

Arora Swati, Vargo Scott, Lupetin Anthony R

机构信息

Internal Medicine, Allegheny General Hospital, Drexel University, Pittsburgh, PA 15212, USA.

出版信息

Clin Imaging. 2009 Jul-Aug;33(4):314-7. doi: 10.1016/j.clinimag.2008.12.008.

DOI:10.1016/j.clinimag.2008.12.008

PMID:19559356

Abstract

Pheochromocytomas are adrenal tumors that are diagnosed with time-consuming 24-h urine collection studies. Adrenal hemorrhage is a rare but serious complication of pheochromocytomas that has been reported in only about 50 cases [Sutton MG, Sheps SG, Lie JT. Prevalence of clinically unsuspected pheochromocytomas. Review of a 50-year autopsy series. Mayo Clin Proc 1981;56:354-360]. We had a patient with a classic presentation of pheochromocytoma complicated with hypertensive crisis leading to spontaneous adrenal hemorrhage. We report the computed tomographic (CT) findings of ruptured pheochromocytoma that helped us in early detection and treatment of this life-threatening complication.

摘要

嗜铬细胞瘤是肾上腺肿瘤，需通过耗时的24小时尿液收集研究来诊断。肾上腺出血是嗜铬细胞瘤一种罕见但严重的并发症，仅约50例病例有相关报道[萨顿MG，谢普斯SG，利JT。临床未怀疑的嗜铬细胞瘤的患病率。对50年尸检系列的回顾。梅奥诊所学报1981；56：354 - 360]。我们有一名患者，表现为典型的嗜铬细胞瘤，并发高血压危象，导致自发性肾上腺出血。我们报告了破裂嗜铬细胞瘤的计算机断层扫描（CT）结果，这些结果有助于我们早期发现并治疗这种危及生命的并发症。