Turner C E
Am J Gastroenterol. 1983 Apr;78(4):214-7.
A patient with a pheochromocytoma is described whose intermittent symptoms and clinical findings suggested upper gastrointestinal obstruction. The nature of this illness proved elusive until severe paroxysmal hypertension was noted during a periodic examination. The case report and gastrointestinal x-rays confirm the intermittent nature of both the gastrointestinal motility disturbances and the hypertension. The resolution of the gastrointestinal symptoms during a 3-years postoperative follow-up confirms the association. Gastrointestinal symptoms are rarely the predominant manifestation of pheochromocytoma, but recognition of this association may permit earlier diagnosis.
本文描述了一名患有嗜铬细胞瘤的患者，其间歇性症状和临床检查结果提示存在上消化道梗阻。在定期检查中发现严重阵发性高血压之前，该病的本质一直难以捉摸。病例报告和胃肠道X光检查证实了胃肠动力障碍和高血压的间歇性特征。术后3年随访期间胃肠道症状的缓解证实了两者之间的关联。胃肠道症状很少是嗜铬细胞瘤的主要表现，但认识到这种关联可能有助于早期诊断。
