[Pheochromocytoma in children. Two case reports].
Severe sustained hypertension occurs in only 0.1% of the pediatric population and only about 2% of these patients will have an underlying endocrine cause. Pheochromocytoma as a catecholamine secreting tumour causing severe hypertension is exceedingly rare in children. A high index of suspicion and an awareness of the clinical spectrum are therefore necessary to make the diagnosis. We report two cases of pheochromocytoma occurring in two a 12 year-old boys who's presented with sustained hypertension, headache, sweating, and visual blurring. Measurement of 24 hour urinary catecholamines showed a marked increase and localization of adrenal unilateral pheochromocytoma was determined by ultrasonography and computed tomography. The approaches to the adrenal gland were transverse transperitoneal and the excision of the tumors was followed of return to the normal of tensional numbers.
Zerhouni
H
H
Clinique chirurgicale infantile A, hôpital d'enfants, CHU Ibn Sina, Rabat, Maroc. hzerhouni@hotmail.com
Kaddouri
N
N
Abdelhak
M
M
Benhmamouch
N
N
Barahioui
M
M
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D006261:Headache / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D013546:Sweating; D014057:Tomography, X-Ray Computed