Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis

被引：1
作者：
Inaba, Hidefumi [1 ]
Kaido, Yosuke
Kosugi, Daisuke
Asai, Yuki
Ogino, Shinya
Nakano, Shogo
Ito, Saya
Hirobata, Tomonao
Ono, Kazuo
Minaga, Kosuke
Morita, Shuhei
Inoue, Gen
机构：
[1] Japanese Red Cross Wakayama Med Ctr, Dept Diabet & Endocrinol, Wakayama, Japan
来源：
INTERNAL MEDICINE | 2023年 / 62卷 / 13期
关键词：
pheochromocytoma multisystem crisis; acute pancreatitis;
D O I：
10.2169/internalmedicine.0742-22
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 43-year-old man developed headache, dizziness, abdominal pain, and vomiting. His blood pressure was 203/121 mmHg, heart rate 122 beats/min, body temperature 39.1 & DEG;C, and respiratory rate 24/min. He had elevated levels of creatinine at 2.95 mg/dL and lipase at 1,364 U/L as well as an extremely low calcium level at 5.2 mg/dL. Hypertriglyceridemia and hyperglycemia were seen. Chest and abdominal computed tomography showed interstitial pneumonia, severe pancreatitis, and a right adrenal tumor. The patient also developed vertebral artery dissection and medullary infarction. After right adrenalectomy, the patient was diagnosed with pheochromocytoma multisystem crisis (PMC). Acute pancreatitis might augment numerous life-threatening manifestations of PMC.
引用
收藏
页码：1957 / 1963
页数：7
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