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一例伴有严重麻痹性肠梗阻的嗜铬细胞瘤病例。

A case of pheochromocytoma with severe paralytic ileus.

作者信息

Noguchi M, Taniya T, Ueno K, Yagi M, Izumi R, Konishi K, Miyazaki I

机构信息

Operation Center, Kanazawa University Hospital, Japan.

出版信息

Jpn J Surg. 1990 Jul;20(4):448-52. doi: 10.1007/BF02470830.

DOI:10.1007/BF02470830
PMID:2201810
Abstract

We report herein a rare case of a 26 year old woman with pheochromocytoma complicated by paralytic ileus. She presented with remarkable abdominal distension and respiratory difficulty but was effectively treated by surgical removal of the tumor with preoperative and operative management using alpha and beta adrenergic blocking agents. An excessive and persistent catecholamine production from large tumors or massive metastases characterizes this rare complication, and a review of the English and Japanese literature is given following this report.

摘要

我们在此报告一例罕见病例,一名26岁女性患有嗜铬细胞瘤并伴有麻痹性肠梗阻。她表现出明显的腹胀和呼吸困难,但通过术前及术中使用α和β肾上腺素能阻滞剂进行管理,并手术切除肿瘤,得到了有效治疗。这种罕见并发症的特征是大肿瘤或大量转移灶产生过量且持续的儿茶酚胺,本报告之后会对英文和日文文献进行综述。

相似文献

1
A case of pheochromocytoma with severe paralytic ileus.一例伴有严重麻痹性肠梗阻的嗜铬细胞瘤病例。
Jpn J Surg. 1990 Jul;20(4):448-52. doi: 10.1007/BF02470830.
2
[A case of malignant pheochromocytoma complicated with severe paralytic ileus: in special reference to the long-term treatment with parenteral alpha and beta adrenoreceptor blockers].一例恶性嗜铬细胞瘤合并严重麻痹性肠梗阻:特别提及使用胃肠外α和β肾上腺素能受体阻滞剂的长期治疗
Nihon Naika Gakkai Zasshi. 1986 Jul;75(7):951-6. doi: 10.2169/naika.75.951.
3
Malignant pheochromocytoma, still a therapeutic challenge.恶性嗜铬细胞瘤仍然是一个治疗难题。
Am J Hypertens. 1997 Apr;10(4 Pt 1):479-81. doi: 10.1016/s0895-7061(97)00064-2.
4
[Atypical clinical aspects of pheochromocytoma: paralytic ileus].[嗜铬细胞瘤的非典型临床症状:麻痹性肠梗阻]
Chir Ital. 1967 Oct;19(5):676-85.
5
[Paralytic ileus in pheochromocytoma. Possible correlation with an attempt at adrenal phlebography].[嗜铬细胞瘤所致麻痹性肠梗阻。与肾上腺静脉造影尝试的可能关联]
Schweiz Med Wochenschr. 1976 Aug 28;106(35):1187-91.
6
Hemorrhagic necrosis of pheochromocytoma associated with phentolamine administration.与酚妥拉明给药相关的嗜铬细胞瘤出血性坏死。
Ann Surg. 1976 Jul;184(1):26-30. doi: 10.1097/00000658-197607000-00004.
7
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.
8
Pheochromocytoma presenting as an abdominal emergency: association with perforation of the colon.表现为腹部急症的嗜铬细胞瘤:与结肠穿孔的关联
Digestion. 2002;65(1):61-6. doi: 10.1159/000051933.
9
A malignant pheochromocytoma with ileus, polyuria and hypercalcemia: a case of recurrence 17 years after the initial operation.一例伴有肠梗阻、多尿和高钙血症的恶性嗜铬细胞瘤:初次手术后17年复发的病例
Endocrinol Jpn. 1985 Apr;32(2):337-45. doi: 10.1507/endocrj1954.32.337.
10
A composite pheochromocytoma/ganglioneuroblastoma of the adrenal gland.肾上腺的复合嗜铬细胞瘤/神经节母细胞瘤。
Pediatr Blood Cancer. 2010 Jul 1;54(7):1032-4. doi: 10.1002/pbc.22436.

引用本文的文献

1
Acute intestinal pseudo-obstruction by pheochromocytoma: A case report with review of literature.嗜铬细胞瘤所致急性肠道假性梗阻:一例病例报告并文献复习
Int J Surg Case Rep. 2022 May;94:107008. doi: 10.1016/j.ijscr.2022.107008. Epub 2022 Apr 4.
2
A rare and life-threatening cause of pseudo-obstruction in two surgical patients.两名外科手术患者中出现的一种罕见且危及生命的假性肠梗阻病因。
BMJ Case Rep. 2010 Nov 23;2010:bcr0420102882. doi: 10.1136/bcr.04.2010.2882.
3
Pheochromocytoma as an endocrine emergency.嗜铬细胞瘤作为一种内分泌急症。

本文引用的文献

1
The effects of prolonged infusions of noradrenaline and adrenaline on the arterial pressure of the rabbit.去甲肾上腺素和肾上腺素长时间输注对家兔动脉血压的影响。
Clin Sci. 1950 May 30;9(2):247-57.
2
Phaeochromocytoma presenting as an abdominal emergency.以腹部急症形式出现的嗜铬细胞瘤。
Br Med J. 1951 Aug 4;2(4726):275-7. doi: 10.1136/bmj.2.4726.275.
3
HEMORRHAGIC PHEOCHROMOCYTOMA WITH SHOCK AND ABDOMINAL PAIN.伴有休克和腹痛的出血性嗜铬细胞瘤
Rev Endocr Metab Disord. 2003 May;4(2):121-8. doi: 10.1023/a:1022981801344.
4
Acute Intestinal Pseudo-obstruction.急性假性肠梗阻
Curr Treat Options Gastroenterol. 2000 Aug;3(4):273-286. doi: 10.1007/s11938-000-0041-8.
Am J Med. 1965 Sep;39:502-4. doi: 10.1016/0002-9343(65)90217-2.
4
Pheochromocytoma. Clinical aspects and surgical treatment.嗜铬细胞瘤。临床特征与外科治疗
Arch Surg. 1963 May;86:778-90. doi: 10.1001/archsurg.1963.01310110088013.
5
Phaeochromocytoma: presenting as resistant intestinal ileus.嗜铬细胞瘤:表现为顽固性肠梗阻。
Proc R Soc Med. 1962 Dec;55(12):998. doi: 10.1177/003591576205501203.
6
Further observations on intestinal lesions associated with pheochromocytomas. A case of malignant pheochromocytoma in pregnancy.嗜铬细胞瘤相关肠道病变的进一步观察。一例妊娠期恶性嗜铬细胞瘤。
Ann Surg. 1960 May;151(5):683-92. doi: 10.1097/00000658-196005000-00009.
7
L-Norepinephrine myocarditis.左旋去甲肾上腺素性心肌炎
Am J Clin Pathol. 1958 Nov;30(5):425-34. doi: 10.1093/ajcp/30.5.425.
8
Clinical experience with malignant pheochromocytomas.恶性嗜铬细胞瘤的临床经验
Surg Gynecol Obstet. 1982 Jun;154(6):801-18.
9
Gastrointestinal pseudo-obstruction due to pheochromocytoma.嗜铬细胞瘤所致的胃肠道假性梗阻。
Am J Gastroenterol. 1983 Apr;78(4):214-7.
10
Phaeochromocytoma as a cause of gastro-intestinal distension.嗜铬细胞瘤作为胃肠扩张的一个病因
Postgrad Med J. 1967 Mar;43(497):180-3. doi: 10.1136/pgmj.43.497.180.