Percutaneous puncture and drainage previous to elective surgical resection of a pheochromocytoma presenting as a retroperitoneal abscess: report of one case

We report a 57 year-old woman with a big partially cystic adrenal pheochromocytoma presenting with high fever and abdominal pain. Based on CT scan images and before knowing urinary catecholamines level, the diagnosis of sepsis secondary to an abscessed adrenal macrotumor was done. A diagnostic percu...

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Bibliographic Details
Published in:Revista medíca de Chile 2007-04, Vol.135 (4), p.501-505
Main Authors: Lam, José, Henríquez, René, Rojas, Oscar, Marina, Viviana
Format: Article
Language:Spanish
Subjects:
Abdominal Abscess - diagnosis
Abdominal Abscess - surgery
Abdominal Abscess - urine
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - surgery
Adrenal Gland Neoplasms - urine
Biopsy, Fine-Needle
Catecholamines - urine
Drainage
Elective Surgical Procedures
Female
Humans
Middle Aged
Pheochromocytoma - diagnosis
Pheochromocytoma - surgery
Pheochromocytoma - urine
Punctures - methods
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Summary:We report a 57 year-old woman with a big partially cystic adrenal pheochromocytoma presenting with high fever and abdominal pain. Based on CT scan images and before knowing urinary catecholamines level, the diagnosis of sepsis secondary to an abscessed adrenal macrotumor was done. A diagnostic percutaneous fine-needle puncture and aspiration was done and antibiotic therapy was started. One week later an open surgical drainage and installation of percutaneous drainage tubes was carried out. Both procedures were uneventful and the patient improved dramatically. Three months later a definitive excision surgery was done. After 14 months of follow up, the patient is in excellent conditions and her abdominal CT scan is normal.
ISSN:0034-9887