A Case of a Ruptured Pheochromocytoma with an Intratumoral Aneurysm Managed by Coil Embolization

Endocrine Journal

Ji-Hyun PARK¹  Chong-Hwa KIM¹  Kyung-Pyo KANG¹  Sung-Joong LEE¹  Tae-Sun PARK¹  Hong-Sun BAEK¹ 

[1] Division of Endocrinology and Metabolism, Department of Internal Medicine, Chonbuk National University Medical School

关键词: Pheochromocytoma;    Aneurysm;    Rupture;    Angiography;    Embolization;   

DOI  :  10.1507/endocrj.50.653

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

References(9)Cited-By(17)Although the spontaneous rupture of adrenal pheochromocytoma is rare, it can be lethal because it can induce serious changes in the circulation. We describe a 32 year old man with bilateral pheochromocyroma presenting as abdominal pain. In the emergency room, an abdominal MRI showed an aneurysmal vessel in the right adrenal mass and accompanying hemorrhage around the tumor capsule. The bleeding site was found by transfemoral abdominal angiography. Coil embolization was done in the bleeding vessels, specifically branches of the right adrenal artery. The hemorrhage was successfully controlled and vital signs of the patient were restored. Following emergency care, biochemical and imaging studies showed compatible findings of a bilateral adrenal pheochromocytoma. Postoperative histologic findings confirmed these observations. A ruptured pheochromocytoma should be considered as a cause of acute abdomen in cases of a concomitant adrenal mass. Intratumoral aneurysmal bleeding may be a cause of ruptured tumor, and careful angiographic intervention will help to ensure safe control of bleeding in such an emergency situation, even in cases of bilateral tumor.

【 授权许可】

Unknown