Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis

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°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 c...

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Bibliographic Details
Published in:Internal Medicine 2023/07/01, Vol.62(13), pp.1957-1963
Main Authors: Inaba, Hidefumi, Kaido, Yosuke, Kosugi, Daisuke, Asai, Yuki, Ogino, Shinya, Nakano, Shogo, Ito, Saya, Hirobata, Tomonao, Ono, Kazuo, Minaga, Kosuke, Morita, Shuhei, Inoue, Gen
Format: Article
Language:English
Subjects:
Acute Disease
acute pancreatitis
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - diagnostic imaging
Adrenal Medulla - pathology
Adrenalectomy
Adult
Blood pressure
Body temperature
Case Report
Computed tomography
Creatinine
Heart rate
Humans
Hyperglycemia
Hypertriglyceridemia
Infarction
Internal medicine
Male
Pancreatitis
Pancreatitis - complications
Pheochromocytoma
Pheochromocytoma - complications
Pheochromocytoma - diagnosis
Pheochromocytoma - surgery
pheochromocytoma multisystem crisis
Respiration
Vertebrae
Vomiting
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Summary: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°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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0742-22