A case of pheochromocytoma with renal artery stenosis and post-surgical watery diarrhea.
A 35-year-old woman was admitted to our hospital with the following complaints, headache, sweating, anxiety, dizziness, nausea, vomiting and severe hypertension. The technical images (abdominal CT, scintigraphic octreotide scan and renal arteriography) revealed the presence of a left adrenal pheochromocytoma and stenosis of the renal artery. Ten days following adrenalectomy, watery diarrhea appeared. The long-acting somatostatin analogue octreotide (LAR, 30 mg/month, i.m.), was started, and after 2 weeks diarrhea decreased and gradually disappeared. In conclusion, we were confronted with an unusual case of pheochromocytoma associated with renal artery stenosis and the appearance of watery diarrhea some days after surgical treatment. Treatment with octreotide brought about the remission of diarrhea in this patient.
Blasi
C
C
Second Division of Internal Medicine, Hospital Sandro Pertini, Rome, Italy.
D'Amore
F
F
Delle Fave
G
G
Massa
R
R
Reale
M G
MG
Caliumi
C
C
Letizia
C
C
D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D000315:Adrenalectomy / Q000009:adverse effects*; D000328:Adult; D000792:Angiography; D000930:Antidiarrheals / Q000627:therapeutic use; D003967:Diarrhea / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D015282:Octreotide / Q000627:therapeutic use; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000150:complications* / Q000175:diagnosis; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
D000930:Antidiarrheals; D015282:Octreotide