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Pheochromocytoma with spontaneous retroperitoneal bleeding
Sofie Elise Gellert1, Maria Hilscher1, Mikael Aagaard1
1Urinvejskirurgisk Afdeling, Københavns Universitetshospital - Rigshospitalet.
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This case report details a life-threatening adrenal bleed in a 33-year-old woman, ultimately diagnosed as pheochromocytoma. Treatment involved arterial embolisation and laparoscopic adrenalectomy.
Area of Science:
- Endocrinology
- Oncology
Abstract:
In Denmark, the incidence of pheochromocytoma is 6.6 per million person-years. This case report describes a 33-year-old woman with a life-threatening adrenal bleeding. For some years prior to the incident she had suffered from hypertension, headache, palpitations, rapid increase of weight, oligomenorrhoea and hirsutism. The treatment was acute arterial embolisation. Subsequently, due to a persistently elevated level of methoxynoradrenaline she was diagnosed with pheochromocytoma. She was endocrinologically optimised, and the adrenal gland was removed laparoscopically.