title: [Malignant pheochromocytoma presenting as an acute abdomen: a case report].
abstract: A case of right adrenal malignant pheochromocytoma was reported. The patient was a 16-year-old boy who complained of severe right side abdominal pain due to spontaneous hemorrhage into the retroperitoneal space. Right adrenalectomy was performed on Feb. 22, 1988 but the preoperative high serous catecholamine level did not drop to the normal level. Postoperatively bone and liver metastasis were detected by a 131I-MIBG scan. He was treated with a combination chemotherapeutic regimen consisting of cyclophosphamide, vincristine and dacarbazine in 2 repeated cycles but there was no effect. He died 5 months after the operation.
authors.affiliation: Department of Urology, Handa Municipal Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Kobayashi
authors.forename: T
authors.initials: T
authors.lastname: Katoh
authors.forename: N
authors.initials: N
authors.lastname: Sawada
authors.forename: M
authors.initials: M
authors.lastname: Sahashi
authors.forename: K
authors.initials: K
authors.lastname: Miyake
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000628:therapy; D000315:Adrenalectomy; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000556:secondary; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D010673:Pheochromocytoma / Q000150:complications* / Q000473:pathology / Q000556:secondary; D012187:Retroperitoneal Space