[Extremely severe complication during ESWL caused by unsuspected asymptomatic pheochromocytoma].
In 0.1% the pheochromocytoma is the reason of a systemic hypertension. The symptoms of a persistent or paroxysmal hypertension with headache, excessive sweating and palpitations lead in 90% to the diagnosis pheochromocytoma. Very rarely a patient with pheochromocytoma may be asymptomatic. We introduce a 68-year-old man whose pheochromocytoma primarily rose up while ESWL and furthermore in anaesthesia. The problems to determine the diagnosis will be scrutinized as following.
Küster
J
J
Urologische Klinik, Evangelisches Krankenhaus Göttingen-Weende.
Bartels
H
H
D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000315:Adrenalectomy; D000368:Aged; D006801:Humans; D006974:Hypertension, Malignant / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects*; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation