Ben Maïz H, Kheder A, Kouki F, El Matri A, Slim R, Ben Ayed H
Ann Med Interne (Paris). 1982;133(3):164-8.
This report concerns two pheochromocytomas of renal vasculary pedicle. Diagnosis is made on clinical features and urinary vanylmandelic acid excretion rate. Localisation is made by arteriography. In one case, there is a renal artery compression, and in the other the tumor is vascularised by lombar artery with hypoplasic ipsilateral kidney. These two cases stress the problem of the respective responsibility of both pheochromocytoma and renovascular disease in hypertension genesis. Beside the clinical and biological context pre-operatively, the sulpiride and propranolol tests may have a discrimination value. Excision of the tumor afforded complete relief of symptoms, the two patients remained normotensive three years later.
本报告涉及两例肾血管蒂嗜铬细胞瘤。根据临床特征和尿香草扁桃酸排泄率进行诊断。通过动脉造影进行定位。一例存在肾动脉受压,另一例肿瘤由腰动脉供血,同侧肾发育不全。这两例病例强调了嗜铬细胞瘤和肾血管疾病在高血压发病机制中各自责任的问题。除术前的临床和生物学背景外,舒必利和普萘洛尔试验可能具有鉴别价值。肿瘤切除后症状完全缓解,两名患者三年后血压仍正常。