Arterial Embolization for Ruptured Adrenal Pheochromocytoma

Overview

Journal Curr Oncol

Publisher MDPI

Specialty Oncology

Date 2010 Dec 15

PMID 21151411

Citations 13

Authors

M Habib

I Tarazi

M Batta

Affiliations

Soon will be listed here.

Abstract

Background: Spontaneous rupture of adrenal pheochromocytoma is an extremely rare condition that can be lethal. Optimal treatment in these cases is still unclear.

Methods: We conducted a comprehensive review of medline articles on ruptured pheochromocytomas to locate all research done on this topic. Based on the literature review and one additional case at European Gaza Hospital, we analyzed clinical presentations, hemorrhage site, tumour side, mortality rate, and treatment options.

Results: In addition to our case, we identified 53 cases of ruptured pheochromocytoma. A review of all 53 cases revealed that 17 (32%) of the patients died, and that no mortality occurred among the 12 patients who received an alpha-blocker (to control high blood pressure) and fluid infusion therapy before surgery. Only 3 patients, including our case, underwent elective surgery after transcatheter arterial embolization (tae).

Conclusions: Surgical treatment should be considered for ruptured pheochromocytoma. Surgical approaches involve either emergency or elective surgery. It has been reported that emergency surgery is commonly associated with a high mortality rate; no deaths were reported in patients who underwent elective surgery. We therefore consider that, if a patient has hemodynamic instability, tae can be an effective and a safe procedure for achieving hemostasis and maintaining the patient in good condition until surgery can be performed.

Citing Articles

Partial biochemical response of adrenal artery embolization for pheochromocytoma: A case report and review of the literature.

Choque-Chavez F, Paez-Carpio A, Mora M, Montserrat S, Pascagaza A, Burrel M Radiol Case Rep. 2024; 20(2):924-928.

PMID: 39654570 PMC: 11625116. DOI: 10.1016/j.radcr.2024.10.107.

A case of successful management for spontaneous rupture of paraganglioma treated with preoperative transcatheter arterial embolization.

Nakagawa M, Tanimine N, Sakai H, Nakano R, Kuroda S, Ohira M Surg Case Rep. 2024; 10(1):158.

PMID: 38904868 PMC: 11192704. DOI: 10.1186/s40792-024-01907-9.

Adrenal bleeding due to pheochromocytoma - A call for algorithm.

Rzepka E, Kokoszka J, Grochowska A, Ulatowska-Bialas M, Lech M, Opalinska M Front Endocrinol (Lausanne). 2022; 13:908967.

PMID: 35992110 PMC: 9389316. DOI: 10.3389/fendo.2022.908967.

Catecholaminergic Crisis After a Bleeding Complication of COVID-19 Infection: A Case Report.

Rebollo-Roman A, Alhambra-Exposito M, Herrera-Martinez Y, Leiva-Cepas F, Alzas C, Munoz-Jimenez C Front Endocrinol (Lausanne). 2021; 12:693004.

PMID: 34566886 PMC: 8456100. DOI: 10.3389/fendo.2021.693004.

Ruptured functioning adrenal tumour, atypical presentation with renal colic and hypertension.

Elmoheen A, Yousry M, Elmesery A, Bashir K BMJ Case Rep. 2020; 13(12).

PMID: 33334743 PMC: 7747614. DOI: 10.1136/bcr-2020-236050.

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