Naghshineh Elham, Shahraki Azar Danesh, Sheikhalian Somaye, Hashemi Leila
Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2016 Mar 10;7:60. doi: 10.4103/2008-7802.178534. eCollection 2016.
Pheochromocytoma is a catecholamine-producing tumor. There are a very few reported cases of clinical pheochromocytoma. Here, we report a 27-year-old woman para 1 live 1 with chief complaint of headache, confusion, nausea, and vomiting 2 days after cesarean section. She was anxious and had palpitation. On physical examination, fever, tachycardia, tachypnea, high blood pressure, and right thyroid nodule were found. She was managed as pregnancy-induced hypertension at first. In laboratory data, epinephrine, norepinephrine, metanephrine, normetanephrine, and vanillylmandelic acid were increased in 24 h urine collection. An adrenal mass was detected in abdominal computed tomography. Regarding clinical and paraclinical findings, pheochromocytoma was diagnosed. The patient received medical treatment, but it was not effective; hence, she underwent adrenalectomy.
嗜铬细胞瘤是一种分泌儿茶酚胺的肿瘤。临床嗜铬细胞瘤的报道病例非常少。在此,我们报告一名27岁经产妇,顺产1次,剖宫产术后2天,主要症状为头痛、意识模糊、恶心和呕吐。她焦虑且有心悸。体格检查发现发热、心动过速、呼吸急促、高血压和右侧甲状腺结节。起初她被诊断为妊娠高血压。实验室检查数据显示,24小时尿中肾上腺素、去甲肾上腺素、间甲肾上腺素、去甲间甲肾上腺素和香草扁桃酸水平升高。腹部计算机断层扫描检测到肾上腺肿块。综合临床和辅助检查结果,诊断为嗜铬细胞瘤。患者接受了药物治疗,但无效,因此接受了肾上腺切除术。