Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report

Pheochromocytoma is a rare catecholamine-secreting tumor derived from chromaffin cells. The diagnosis is usually suggested by its classic history, presence of a strong family history, or discovery of an incidental mass on imaging in an asymptomatic patient. Hemorrhage into an occult pheochromocytoma...

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Main Authors: Ajay H. Bhandarwar, Amarjeet E. Tandur, Keerthika Reddy Rachapalli, Amol Wagh, Abhijit Shah, Nikhil Dhimole
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2023-01-01
Series:The Surgery Journal
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1762554
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author Ajay H. Bhandarwar
Amarjeet E. Tandur
Keerthika Reddy Rachapalli
Amol Wagh
Abhijit Shah
Nikhil Dhimole
author_facet Ajay H. Bhandarwar
Amarjeet E. Tandur
Keerthika Reddy Rachapalli
Amol Wagh
Abhijit Shah
Nikhil Dhimole
author_sort Ajay H. Bhandarwar
collection DOAJ
description Pheochromocytoma is a rare catecholamine-secreting tumor derived from chromaffin cells. The diagnosis is usually suggested by its classic history, presence of a strong family history, or discovery of an incidental mass on imaging in an asymptomatic patient. Hemorrhage into an occult pheochromocytoma is a rare complication with ∼1 to 2 per 100,000 individuals diagnosed annually. We report a case of a 29-year-old woman, who presented with abdominal pain (with no other significant history) due to a right hemorrhagic pheochromocytoma. Computed tomographic imaging and magnetic resonance imaging revealed the source of retroperitoneal hemorrhage as the right adrenal mass. They lacked the typical features of a pheochromocytoma which was eventually proven by the biochemical tests. The patient underwent preoperative stabilization with α and β adrenergic receptor blockers for 7 days following which laparoscopic adrenalectomy was performed successfully with an uneventful postoperative period. This is the eighth reported case in literature managed laparoscopically. Histopathology confirmed it as pheochromocytoma. The treacherous and deceptive nature of pheochromocytomas and its hemorrhage make it crucial to detect and treat it promptly; otherwise, it will almost certainly be fatal from cardiovascular complications or metastasis.
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spelling doaj.art-80ccee59d11a4230a5ed9b9ed749cfda2023-03-26T22:32:48ZengThieme Medical Publishers, Inc.The Surgery Journal2378-51282378-51362023-01-010901e52e5710.1055/s-0043-1762554Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case ReportAjay H. Bhandarwar0Amarjeet E. Tandur1Keerthika Reddy Rachapalli2Amol Wagh3Abhijit Shah4Nikhil Dhimole5Department of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaDepartment of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaDepartment of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaDepartment of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaDepartment of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaDepartment of General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, IndiaPheochromocytoma is a rare catecholamine-secreting tumor derived from chromaffin cells. The diagnosis is usually suggested by its classic history, presence of a strong family history, or discovery of an incidental mass on imaging in an asymptomatic patient. Hemorrhage into an occult pheochromocytoma is a rare complication with ∼1 to 2 per 100,000 individuals diagnosed annually. We report a case of a 29-year-old woman, who presented with abdominal pain (with no other significant history) due to a right hemorrhagic pheochromocytoma. Computed tomographic imaging and magnetic resonance imaging revealed the source of retroperitoneal hemorrhage as the right adrenal mass. They lacked the typical features of a pheochromocytoma which was eventually proven by the biochemical tests. The patient underwent preoperative stabilization with α and β adrenergic receptor blockers for 7 days following which laparoscopic adrenalectomy was performed successfully with an uneventful postoperative period. This is the eighth reported case in literature managed laparoscopically. Histopathology confirmed it as pheochromocytoma. The treacherous and deceptive nature of pheochromocytomas and its hemorrhage make it crucial to detect and treat it promptly; otherwise, it will almost certainly be fatal from cardiovascular complications or metastasis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1762554hemorrhagic pheochromocytomaminimally invasive surgeryrare complicationcase report
spellingShingle Ajay H. Bhandarwar
Amarjeet E. Tandur
Keerthika Reddy Rachapalli
Amol Wagh
Abhijit Shah
Nikhil Dhimole
Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
The Surgery Journal
hemorrhagic pheochromocytoma
minimally invasive surgery
rare complication
case report
title Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
title_full Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
title_fullStr Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
title_full_unstemmed Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
title_short Minimally Invasive Management of Hemorrhagic Pheochromocytoma—A Rare Case Report
title_sort minimally invasive management of hemorrhagic pheochromocytoma a rare case report
topic hemorrhagic pheochromocytoma
minimally invasive surgery
rare complication
case report
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1762554
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