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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2014

Open Access 01-12-2014 | Review

Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review

Authors: Tarik Souiki, Zoheir Tekni, Hind Laachach, Amal Bennani, Youssef Zrihni, Azeddine Tadmori, Farida Ajdi, Abderahim Bouazzaoui, Laila Chbani, Hafid Akoudad, Khalid Mazaz, Said Aitlaalim

Published in: World Journal of Emergency Surgery | Issue 1/2014

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Abstract

We describe here the case of a 62-year-old man with acute abdominal syndrome and severe hemorrhagic shock following successful thrombolysis for acute cardiac infarction. Emergency surgical exploration revealed extensive intraperitoneal and retroperitoneal hemorrhage resulting from the rupture of a large adrenal tumor. The diagnosis of pheochromocytoma was confirmed by histological findings. The patient died a few hours after surgery from multiorgan failure despite resuscitation attempts. This report discusses the diagnosis difficulties, treatment approach, and relevant literature.
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Literature
1.
2.
Lenders JWM, Eisenhofer G, Mannelli M, Pacak K: Phaeochromocytoma. Lancet. 2005, 366: 665-675. 10.1016/S0140-6736(05)67139-5.CrossRefPubMed
3.
Chan MK, Tse HW, Mok FP: Ruptured phaeochromocytoma–a lesson in acute abdomen. Hong Kong Med J. 2003, 9 (3): 221-223.PubMed
4.
Mathonnet M, Peix JL, Sebag F: Chirurgie des glandes surrénales. Monographies de l’association française de chirurgie. France: Arnette Wolters kluwer;2011.
5.
Cahill GF: Sympathoblast. Pheochromoblast. Pennsylvania Med J. 1994, 47: 664-667.
6.
Kobayashi T, Iwai A, Takahashi R, Ide Y, Nishizawa K, Mitsumori K: Spontaneous rupture of adrenal pheochromocytoma: review and analysis of prognostic factors. J Surg Oncol. 2005 Apr 1, 90 (1): 31-35. 10.1002/jso.20234.CrossRef
7.
Rossi A, Picchio M, Palimento D, Calì B, Caliendo A: Spontaneous ruptured pheochromocytoma: a case report. G Chir. 2007, 28 (11–12): 425-427.PubMed
8.
Mayumi M, Haruhiro S, Mitsunori Y, Sunao SH, Toshiro T, Robert YO: Spontaneous rupture of pheochromocytoma and its clinical features: A case report. Tokai J Exp Clin Med. 2008, 33: 110-115.
9.
Pua U, Wong DE: Transarterial embolisation of spontaneous adrenal pheochromocytoma rupture using polyvinyl alcohol particles. Singapore Med J. 2008, 49: e126-e130.PubMed
10.
Chen HY: Ruptured pheochromocytoma presents as acute myocardial infarction. Am J Emerg Med. 2009, 27 (8): e5-e6. 1018CrossRef
11.
Azhough R, Barband AR, Motayagheni N, Niafar M, Pourfathi H: Spontaneous rupture of adrenal pheochromocytoma in a patient with Von Recklinghausen's disease. Indian J Crit Care Med. 2009, 13 (2): 94-95. 10.4103/0972-5229.56056. doi:10.4103/0972-5229.56056PubMedCentralCrossRefPubMed
12.
Li C, Xu YM: Spontaneous intraperitoneal bleeding caused by adrenal pheochromocytoma. Chin Med J (Engl). 2009, 122: 2193-2195.
13.
14.
Okutur K, Küçükler K, Öztekın E, Borlu F, Erdem L: Demır G A rare cause of acute abdomen: ruptured adrenal pheochromocytoma. Turk J Gastroenterol. 2010, 21 (4): 467-469.PubMed
15.
Hanna JS, Spencer PJ, Savopoulou C, Kwasnik E, Askari R: Spontaneous adrenal pheochromocytoma rupture complicated by intraperitoneal hemorrhage and shock. World J Emerg Surg. 2011, 15 (1): 27-6CrossRef
16.
O'Neal PB, Moore FD, Gawande A, Cho NL, Moalem J, Ruan DT: Hemorrhagic shock as the initial manifestation of pheochromocytoma: report of a sequential management strategy. Endocr Pract. 2012, 18 (4): 81-84. 10.4158/EP11149.CR.CrossRef
17.
Kumar S, Nanjappa B, Kumar S, Prasad S, Pushkarna A, Singh SK: Adrenal artery pseudoaneurysm in pheochromocytoma presenting with catastrophic retroperitonealhaemorrhage. Can Urol Assoc J. 2013, 7 (3–4): E254-E256.PubMedCentralPubMed
18.
Kinjo T, Oida T, Yoneda S, Takezawa K, Nomura H, Tei N, Takada S, Matsumiya K: Successful treatment of spontaneous rupture of pheochromocytoma with laparoscopic adrenalectomy : a case report. 2013, Japanese: Hinyokika Kiyo, 775-779. 59(12)
19.
Marti JL, Millet J, Sosa JA, Roman SA, Carling T, Udelsman R: Spontaneous adrenal hemorrhage with associated masses: etiology and management in 6 cases and a review of 133 reported cases. World J Surg. 2012 Jan, 36 (1): 75-82. 10.1007/s00268-011-1338-6.CrossRef
20.
Mussig K, Horger M, Hring HU: Spontaneous rapture of malignant adrenal phaeochromocytoma. Emerg Med J. 2008, 25: 242-10.1136/emj.2007.052076.CrossRefPubMed
21.
Park JH, Kang KP, Lee SJ, Kim CH, Park TS, Baek HS: A case of a ruptured pheochromocytoma with intratumoral aneurysm managed by coil embolization. Endocr J. 2003, 50: 653-656. 10.1507/endocrj.50.653.CrossRefPubMed
22.
May EE, Beal AL, Beilman GJ: Traumatic hemorrhage of occult. pheochromocytoma: a case report and review of the literature. Am Surg. 2000, 66: 720-724.PubMed
23.
Hemmingsson EA: Hemorrhage into a pheochromocytoma in an anticoagulant-treated patient. Acta Chir Scand. 1981, 147: 497-500.PubMed
24.
O’Connel TX, Aston SJ: Acute adrenal haemorrhage complicating anticoagulant therapy. Surg Gynecol Obstet. 1974, 139: 355-357.
25.
Berkowitz SD, Granger CB, Pieper KS, Lee KL, Gore JM, Simoons M, Armstrong PW, Topol EJ, Califf RM: Incidence and predictors of bleeding after contemporary thrombolytic therapy for myocardial infarction. The Global Utilization of Streptokinase and Tissue Plasminogen activator for Occluded coronary arteries (GUSTO) I Investigators. Circulation. 1997, 95 (11): 2508-1. 10.1161/01.CIR.95.11.2508.CrossRefPubMed
26.
Tamdy A, Oukerraj L, Khatri D, Ait Bella S, Etalibi N, Fetouhi H, Boukili Y, Ismaili N, Jalal H, Fellat I, Arharbi M: Acute myocardial infarction revealing a pheochromocytoma: a case report. Ann Cardiol Angeiol (Paris). 2010, 59 (2): 97-99. 10.1016/j.ancard.2008.09.001.CrossRef
27.
Bittencourt JA, Averbeck MA, Schmitz HJ: Hemorrhagic shock due to spontaneous rupture of adrenal pheochromocytoma. Int Braz J Urol. 2003, 29 (5): 428-430.CrossRefPubMed
28.
Ito K, Nagata H, Miyahara M, Saito S, Murai M: Narimatsu (1997) Embolization for massive retroperitonealhemorrhage from adrenal pheochromocytoma. case report Hinyokika Kiyo. 1997, 43: 571-575.PubMed
29.
Takahashi K, Ashizawa N, Minami T, Suzuki S, Sakamoto I, Hayashi K, Tomiyasu S, Sumikawa K, Kitamura K, Eto T, Yano K: Malignant pheochromocytoma with multiple hepatic metastases treated by chemotherapy and transcatheter arterial embolization. Intern Med. 1999, 38: 349-354. 10.2169/internalmedicine.38.349.CrossRefPubMed
30.
Baguet JP, Hammer L, Tremel F, Mangin L, Mallion JM: Metastatic phaeochromocytoma: risks of diagnostic needle puncture and treatment by arterial embolisation. J Hum Hypertens. 2001, 15: 209-211. 10.1038/sj.jhh.1001151.CrossRefPubMed
Metadata
Title
Catastrophic hemorrhage of adrenal pheochromocytoma following thrombolysis for acute myocardial infarction: case report and literature review
Authors
Tarik Souiki
Zoheir Tekni
Hind Laachach
Amal Bennani
Youssef Zrihni
Azeddine Tadmori
Farida Ajdi
Abderahim Bouazzaoui
Laila Chbani
Hafid Akoudad
Khalid Mazaz
Said Aitlaalim
Publication date
01-12-2014
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2014
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-9-50

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