title: Pheochromocytoma of the urinary bladder revealed with cerebral hemorrhage.
abstract: The case was a 51-year-old man, who has been undergoing treatment with oral medication for hypertension for three years. The patient was admitted to the author's clinic for hemorrhage in the left putamen. He was diagnosed as having primary pheochromocytoma of the bladder from such symptoms as paroxysmal blood pressure elevation after urination, mild increase in catecholamine levels before and after urination, and from the results of 131I-MIBG scintigraphy, and cystoscopy, and underwent excision of the bladder tumor. Upon endocrinological examination, only mild increases in catecholamine levels were found. Therefore, constant monitoring of blood pressure and 131I-MIBG scintigraphy were useful for a definitive diagnose.
authors.affiliation: Department of Cardiology, Tottori Prefectural Central Hospital, Tottori-shi.
authors.forename: H
authors.initials: H
authors.lastname: Moritani
authors.forename: M
authors.initials: M
authors.lastname: Sakamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshida
authors.forename: H
authors.initials: H
authors.lastname: Nasu
authors.forename: R
authors.initials: R
authors.lastname: Nemoto
authors.forename: I
authors.initials: I
authors.lastname: Nakamura
mesh_terms: D002395:Catecholamines / Q000097:blood; D002543:Cerebral Hemorrhage / Q000097:blood / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D001749:Urinary Bladder Neoplasms / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging
chemical_list: D002395:Catecholamines