[A case of pheochromocytoma detected by hypertensive crisis immediately after drip infusion urography].
We report a rare case of a 60-year-old man with a pheochromocytoma detected by a hypertensive crisis immediately after drip infusion urography. The patient initially consulted our hospital complaining of dysuria. He underwent a drip infusion urography and experienced a hypertensive crisis. The next day he was diagnosed with paralytic ileus. An endocrinological examination, abdominal computed tomography and 123I-metaiodobenzyl-guanidine scintigraphy revealed a pheochromocytoma. The tumor mass was removed, and immediately his blood pressure became normal and the paralytic ileus improved; however, temporary postoperative hypoglycemia was seen. Frequent monitoring of his blood glucose and the administration of an appropriate solution of dextrose, both during and after the operation, were recommended.
Department of Urology, Osaka Red Cross Hospital.
K
K
Inoue
K
K
Ohmori
K
K
Nishimura
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D007003:Hypoglycemia / Q000628:therapy; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications / Q000628:therapy; D011247:Pregnancy; D014567:Urography / Q000009:adverse effects*
D005947:Glucose