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Optimizing Hemodynamics with Transcatheter Arterial Embolization in Adrenal Pheochromocytoma Rupture

Overview
Journal Intern Med
Specialty General Medicine
Date 2018 Mar 2
PMID 29491290
Citations 5
Authors
Naoki Edo
Takahiro Yamamoto
Satoshi Takahashi
Yamato Mashimo
Koji Morita
Koji Saito
Hiroshi Kondo
Yuko Sasajima
Fukuo Kondo
Hiroko Okinaga
Kazuhisa Tsukamoto
Toshio Ishikawa
Affiliations
Soon will be listed here.
Abstract

Pheochromocytoma rupture is rare, and emergent adrenalectomy is associated with a high mortality. We herein report a patient with pheochromocytoma rupture who was stabilized by transcatheter arterial embolization (TAE) and subsequently underwent elective surgery. A 45-year-old man presented with the sudden onset of left lateral abdominal pain, headache, chest discomfort, high blood pressure, and adrenal hemorrhaging on enhanced abdominal computed tomography. TAE was performed under a provisional diagnosis of pheochromocytoma rupture. Following oral doxazosin, he underwent elective left adrenalectomy four and a half months after TAE. Stabilizing the hemodynamic status by TAE before adrenalectomy is a viable option for treating pheochromocytoma rupture.

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