一例由嗜铬细胞瘤引起的呕血和鼻出血的罕见病例。

An unusual case of hematemesis and epistaxis caused by a pheochromocytoma.

作者信息

Ugur Kader, Girgin Mustafa, Bahcecioglu İbrahim Halil, Artas Hakan, Selcuk Simsek Fikri, Aydin Suleyman

机构信息

1 Internal Medicine (Endocrinology and Metabolism Diseases), School of Medicine, Firat University, Elazig, Turkey.

2 Department of General Surgery, School of Medicine, Firat University, Elazig, Turkey.

出版信息

J Int Med Res. 2018 Jun;46(6):2470-2473. doi: 10.1177/0300060518765015. Epub 2018 Mar 26.

DOI:10.1177/0300060518765015

PMID:29578356

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6023036/

Abstract

Pheochromocytoma is a rare catecholamine-secreting neoplasm that is the cause of hypertension in <0.2% of patients with hypertension. We encountered an unusual case of pheochromocytoma involving hematemesis and epistaxis episodes with accompanying hypertensive attacks. Venous ectasia was detected in the esophagus. Abdominal magnetic resonance imaging revealed an adenoma in the left adrenal region. The present case illustrates that pheochromocytoma can mimic different clinical conditions.

摘要

嗜铬细胞瘤是一种罕见的分泌儿茶酚胺的肿瘤，在高血压患者中，其导致高血压的比例不到0.2%。我们遇到了一例不寻常的嗜铬细胞瘤病例，伴有呕血和鼻出血发作，并伴有高血压发作。在食管中检测到静脉扩张。腹部磁共振成像显示左肾上腺区域有一个腺瘤。本病例表明嗜铬细胞瘤可以模仿不同的临床情况。