Phaeochromocytoma presenting with pseudo-intestinal obstruction and lactic acidosis.
- Author:
Peng Chin KEK
1
;
Emily Tse Lin HO
1
;
Lih Ming LOH
1
Author Information
- Publication Type:Case Reports
- Keywords: intestinal pseudo-obstruction; lactic acidosis; phaeochromocytoma
- MeSH: Abdominal Pain; Acidosis, Lactic; complications; Adrenal Gland Neoplasms; complications; diagnosis; Diabetes Mellitus, Type 2; complications; Dyslipidemias; complications; Female; Humans; Hypertension; complications; Intestinal Pseudo-Obstruction; complications; Middle Aged; Neuroendocrine Tumors; complications; diagnosis; Pheochromocytoma; complications; diagnosis; Radiography, Abdominal
- From:Singapore medical journal 2015;56(8):e131-3
- CountrySingapore
- Language:English
- Abstract: Phaeochromocytomas are rare neuroendocrine tumours with variable clinical signs and symptoms. Hypertension, tachycardia, sweating and headaches are cardinal manifestations. Although nausea and abdominal pain are the more common gastrointestinal features, rare gastrointestinal spectrums have been reported that can mimic abdominal emergencies. Metabolic effects of hypercatecholaminaemia are vast and one such rare presentation is lactic acidosis. We describe a case of phaeochromocytoma presenting with both intestinal pseudo-obstruction as well as lactic acidosis. This case report highlights the importance of having a high index of suspicion for and early recognition of the gastrointestinal and metabolic manifestations of phaeochromocytomas.
