Inaba H, Kaido Y, Kosugi D, Asai Y, Ogino S, Nakano S, Ito S, Hirobata T, Ono K, Minaga K, Morita S, Inoue G. Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis.
Intern Med 2022. [PMID:
36418097 PMCID:
PMC10372264 DOI:
10.2169/internalmedicine.0742-22]
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Abstract
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.
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