[Adrenalectomy after snowboard fall. A pheochromocytoma becomes clinically apparent in an unusual way].
A 33-year-old snowboarder fell and underwent radiological examination, which was suspicious for a vertebral body fracture. Accidentally we found a tumour of the left suprarenal gland. Two days after the fall, he developed a hypertensive crisis with peak blood pressure levels up to 280/120 mmHg. Further endocrinologic testing indicated a pheochromocytoma which was confirmed by post-operative histology. The fall is supposed to have activated the pheochromocytoma. The course of examinations and significance of the tumour are described.
Gramann
T
T
Chirurgische Klinik, Stadtspital Waid Zürich (SWZ), 8037, Zürich, Switzerland. tobias.gramann@waid.stzh.ch
Stamm
B
B
Buchmann
P
P
D000058:Accidental Falls; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D000328:Adult; D006801:Humans; D033162:Incidental Findings; D008297:Male; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D011859:Radiography; D012865:Skiing / Q000293:injuries*; D016103:Spinal Fractures / Q000000981:diagnostic imaging* / Q000209:etiology; D016896:Treatment Outcome