title: [Successful treatment of spontaneous rupture of pheochromocytoma with laparoscopic adrenalectomy: a case report].
abstract: A 46-year-old man had sudden onset of severe left hypochondrial pain and went into shock following hospitalization. Computed tomography, echocardiography, and endocrinological tests revealed spontaneous rupture of a pheochromocytoma associated with catecholamine cardiomyopathy. After he underwent conservative management with fluid replacement, his blood pressure stabilized and cardiac function improved. Twenty-two days later, he was referred to our hospital. After admission, as his circulatory dynamics was stable, we performed elective laparoscopic left adrenalectomy. He was discharged on the tenth postoperative day. Spontaneous rupture of a pheochromocytoma is very rare : laparoscopic surgery for this condition has been reported only on 2 previous occasions worldwide.
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Takanori
authors.initials: T
authors.lastname: Kinjo
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oida
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Suguru
authors.initials: S
authors.lastname: Yoneda
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Takezawa
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Hironori
authors.initials: H
authors.lastname: Nomura
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Norihide
authors.initials: N
authors.lastname: Tei
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Shingo
authors.initials: S
authors.lastname: Takada
authors.affiliation: The Department of Urology, Osaka Police Hospital.
authors.forename: Kiyomi
authors.initials: K
authors.lastname: Matsumiya
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000473:pathology* / Q000601:surgery*; D000315:Adrenalectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010673:Pheochromocytoma / Q000473:pathology* / Q000601:surgery*; D012422:Rupture, Spontaneous