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Intestinal presentation of phaeochromocytoma. A case report
A D'Egidio1, M Schein, M E Tobias
1Department of Surgery, Hillbrow Hospital, Johannesburg.
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 1, 1991
Summary
Phaeochromocytoma can present with colitis, a rare but serious complication. Early diagnosis and treatment, including alpha-adrenergic blockers and tumor removal, are crucial for patient survival.
Area of Science:
- Endocrinology
- Gastroenterology
- Surgical Oncology
Background:
- Phaeochromocytoma, a neuroendocrine tumor, can secrete catecholamines, leading to various clinical manifestations.
- Intestinal complications associated with phaeochromocytoma are rare but associated with high morbidity and mortality.
Observation:
- This report details an unusual case of a patient diagnosed with phaeochromocytoma who presented with symptoms of colitis.
- A literature review revealed a significant mortality rate in patients with phaeochromocytoma complicated by intestinal disease.
Findings:
- The study highlights the critical role of pre-operative preparation with alpha-adrenergic blockers.
- Surgical removal of the phaeochromocytoma led to the resolution of intestinal symptoms in the reported case.
Implications:
- Prompt recognition and management of phaeochromocytoma with intestinal involvement are essential.
- Effective pre-operative management and surgical intervention can improve outcomes for patients with this rare condition.