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本文引用的文献

1
Arterial embolization for ruptured adrenal pheochromocytoma.动脉栓塞治疗破裂的肾上腺嗜铬细胞瘤。
Curr Oncol. 2010 Nov;17(6):65-70. doi: 10.3747/co.v17i6.597.
2
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.
3
Spontaneous rupture of adrenal pheochromocytoma: a case report.肾上腺嗜铬细胞瘤自发性破裂:一例报告
J Urol. 1994 Jan;151(1):120-1. doi: 10.1016/s0022-5347(17)34886-3.
4
Catheter embolization: preparation of patient with pheochromocytoma.导管栓塞术:嗜铬细胞瘤患者的准备
J Pediatr Surg. 1982 Dec;17(6):849-50. doi: 10.1016/s0022-3468(82)80455-7.

嗜铬细胞瘤合并肾上腺动脉假性动脉瘤并出现灾难性腹膜后出血。

Adrenal artery pseudoaneurysm in pheochromocytoma presenting with catastrophic retroperitoneal haemorrhage.

作者信息

Kumar Santosh, Nanjappa Bhuvanesh, Kumar Sathish, Prasad Seema, Pushkarna Arawat, Singh Shrawan Kumar

机构信息

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India;

出版信息

Can Urol Assoc J. 2013 Mar-Apr;7(3-4):E254-6. doi: 10.5489/cuaj.541.

DOI:10.5489/cuaj.541
PMID:23671538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3650767/
Abstract

Spontaneous rupture of adrenal pheochromocytoma is an extremely rare condition which presents as an abdominal catastrophe. Unrecognized, this transformation can rapidly lead to death. We report a case of a 63-year-old male who presented with hemorrhagic shock secondary to ruptured adrenal pheochromocytoma. The clinical course is notable for immediate transarterial catheter embolization for control of bleeding, followed by optimization and elective adrenalectomy. High mortality is associated with an operative intervention in the face of an unrecognized pheochromocytoma. This reinforces the need for maintaining a high index of suspicion in the setting of a suprarenal mass despite hypotension.

摘要

肾上腺嗜铬细胞瘤自发性破裂是一种极为罕见的情况,表现为腹部急症。若未被识别,这种病变可迅速导致死亡。我们报告一例63岁男性患者,因肾上腺嗜铬细胞瘤破裂继发失血性休克。临床过程值得注意的是,立即进行经动脉导管栓塞以控制出血,随后进行优化并择期行肾上腺切除术。面对未被识别的嗜铬细胞瘤进行手术干预会导致高死亡率。这强化了在存在肾上腺肿块(尽管有低血压)的情况下保持高度怀疑指数的必要性。