[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.
Inoue
K
K
Department of Urology, Osaka Red Cross Hospital.
Ohmori
K
K
Nishimura
K
K
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