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Bilateral Malignant pheochromocytoma presenting with abdominal pain and constipation

Norouzi, A. and Mohammadzadeh, F. (2013) Bilateral Malignant pheochromocytoma presenting with abdominal pain and constipation. JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 28 (3). p. 691.

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Abstract

Objective: Pheochromocytoma is a rare catecholamine-secreting tumor that may present with gastrointestinal manifestations. Methods: Herein we report a 50 year old patient with abdominal pain and altered bowel habit, abdominal mass lesion and laboratory features of pheochromocytoma. Results: The patient was referred with abdominal pain, back pain, arthralgia, weakness, lethargy, cold sweat and weight loss. She had history of diabetes mellitus, ischemic heart disease and hyperlipidemia. On admission she was normotensive and had normal physical examination. Upper and lower endoscopy were normal. Transabdominal sonography and CTscan showed large heterogeneous masses with central necrosis and calcification in adrenal regions. 24 hour urine evaluation showed elevated Vanillylmandelic acid (VMA), metanephrine and Nor metanephrine. She undergone bilateral adrenalectomy. Pathologic evaluation showed typical picture of pheochromocytoma. Conclusion: In any patient with abdominal pain and abdominal mass, low threshold for recognizing rare, but often lethal pheochromocytoma is suggested.

Item Type: Article
Uncontrolled Keywords: abdominal pain; pheochromocytoma; endoscopy
Subjects: موارد کلی
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 27 Apr 2015 06:10
Last Modified: 24 Jun 2017 07:39
URI: http://eprints.goums.ac.ir/id/eprint/3773

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