title: The local spread of pheochromocytoma after adrenalectomy with a rupture of the tumor capsule at the time of the surgery.
abstract: BACKGROUND
  We present a case of a 29-year-old patient treated due to fully symptomatic pheochromocytoma of the right adrenal gland.
  
  
  METHODS
  Patient was operated on and an open right-sided adrenalectomy was performed. At the time of the surgery, a rupture of the tumor capsule occurred. Five years post-operatively, a recurrence of the symptoms of chromaffin-cell tumor was noted. After the exact localization of the multiple recurrences, the patient was reoperated on.
  
  
  CONCLUSIONS
  The case of pheochromocytoma is presented due to the possibility of chromaffin-cell seeding into the peritoneum, with no signs of distal metastases so far.
authors.affiliation: Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Ryszard
authors.initials: R
authors.lastname: Pogorzelski
authors.affiliation: Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Sadegh
authors.initials: S
authors.lastname: Toutounchi
authors.affiliation: Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Patryk
authors.initials: P
authors.lastname: Fiszer
authors.affiliation: Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Ewa
authors.initials: E
authors.lastname: Krajewska
authors.affiliation: Clinic of Internal Medicine, Hypertensiology and Angiology, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Izabela
authors.initials: I
authors.lastname: Łoń
authors.affiliation: Multidisciplinary Hospital Warsaw-Miedzylesie, Warsaw, Poland.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Zapała
authors.affiliation: Clinic of General and Thoracic Surgery, Medical University of Warsaw, Banacha 1a St. 02-097 Warsaw, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Skórski
keywords: malignant pheochromocytoma; metastases of pheochromocytoma; pheochromocytoma