Kumar Santosh, Nanjappa Bhuvanesh, Kumar Sathish, Prasad Seema, Pushkarna Arawat, Singh Shrawan Kumar
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India;
Can Urol Assoc J. 2013 Mar-Apr;7(3-4):E254-6. doi: 10.5489/cuaj.541.
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.
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。