Chlebus M, Lapiński M, Torbicki A, Chlebus H, Szostek M, Wocial B, Staszkiewicz W, Januszewicz W
Klinika Nadciśnienia Tetniczego i Chorób Naczyń Akademii Medycznej w Warszawie.
Pol Arch Med Wewn. 1996 Jul;96(1):58-61.
A case of a pheochromocytoma with haemorrhagic necrosis resulting in signs of acute abdomen with shock is reported. Diagnosis of a ruptured adrenal tumor was made by CT scanning. Elevated urine and plasma catecholamines as well as histological examination of the removed tumor confirmed the clinical suspicion of pheochromocytoma. The patient made uneventful recovery and is asymptomatic 2 years after surgery. Ruptured pheochromocytoma as a cause of abdominal emergency is discussed in view of the existing literature.
报告了一例嗜铬细胞瘤伴出血性坏死导致急腹症体征并伴有休克的病例。通过CT扫描诊断为肾上腺肿瘤破裂。尿和血浆儿茶酚胺升高以及对切除肿瘤的组织学检查证实了临床对嗜铬细胞瘤的怀疑。患者术后恢复顺利，术后2年无症状。结合现有文献对破裂性嗜铬细胞瘤作为腹部急症的病因进行了讨论。
