Hatada T, Nakai T, Aoki I, Gondo N, Katou N, Yoshinaga K, Nakasaku O, Utsunomiya J
Second Department of Surgery, Hyogo College of Medicine, Japan.
Surg Today. 1994;24(4):363-7. doi: 10.1007/BF02348569.
The diagnosis of pheochromocytoma is often difficult in a patient presenting with acute illness but without the classical constitutional symptoms. We report herein the case of a woman who developed acute abdominal symptoms following hemorrhagic necrosis of a previously unsuspected pheochromocytoma. This patient underwent successful emergency resuscitation followed later by elective surgical resection of a right adrenal pheochromocytoma. A review of 27 other cases indicates that a fatal outcome is likely to result without the initiation of prompt and appropriate emergency treatment, followed later by removal of the tumor. Thus, early diagnosis is important not only for controlling hypertension, but also because performing a laparotomy on a patient with unrecognized hemorrhagic necrosis of pheochromocytoma can create a potentially lethal situation.
对于患有急性疾病但无典型全身症状的患者，嗜铬细胞瘤的诊断往往很困难。我们在此报告一例女性病例，该患者在先前未被怀疑的嗜铬细胞瘤发生出血性坏死后出现急性腹部症状。该患者成功接受了紧急复苏，随后择期手术切除了右侧肾上腺嗜铬细胞瘤。对其他27例病例的回顾表明，如果不及时开始适当的紧急治疗，随后切除肿瘤，可能会导致致命后果。因此，早期诊断不仅对于控制高血压很重要，而且因为对患有未被识别的嗜铬细胞瘤出血性坏死的患者进行剖腹手术可能会造成潜在的致命情况。
