A Case of Pheochromocytoma Accompanied with Alveolar Hemorrhage and Cardiogenic Pulmonary Edema.
10.4046/trd.2008.64.3.219
- Author:
Jong Pil JEONG
1
;
Hee Jung BAN
;
Soo Ock KIM
;
Jun Gwang SON
;
Jin Yung JU
;
Yong Soo KWON
;
In Jae OH
;
Kyu Sik KIM
;
Yu Il KIM
;
Sung Chul LIM
;
Young Chul KIM
Author Information
1. Department of Internal Medicine, Gwangju Christian Hospital, Korea.
- Publication Type:Case Report
- Keywords:
Pheochromocytoma;
Alveolar hemorrhage;
Cardiogenic pulmonary edema
- MeSH:
Abdominal Pain;
Cardiomyopathies;
Catecholamines;
Female;
Hemodynamics;
Hemoptysis;
Hemorrhage;
Humans;
Hypertension;
Pheochromocytoma;
Pneumonia;
Pulmonary Edema
- From:Tuberculosis and Respiratory Diseases
2008;64(3):219-223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma is derived from the chromaffin tissue. The typical finding of pheochromocytoma is paroxysmal hypertension accompanied with various signs and symptoms that are due to the excess of catecholamines or other bioactive substances. Yet the diagnosis is sometimes difficult to make because its clinical presentation is quite variable. Especially, hemoptysis is a very rare symptom, so the diagnosis is often missed or delayed. Without making the correct diagnosis and then subsequently administering treatment, the condition may be fatal. We herein report on a 68 year-old woman who was admitted because of abdominal pain and hemoptysis. The initial radiologic findings suggested pulmonary edema with alveolar hemorrhage. The urine catecholamine levels were elevated and she developed catecholamine-induced cardiomyopathy. We performed bronchial arterial embolization and we administered alpha blocker medication for controlling the hemoptysis and hypertension. After the temporary symptomatic improvement, her clinical course was aggravated by pneumonia and pulmonary edema. In spite of performing definitive surgery for pheochromocytoma, she died of postoperative hemodynamic instability.
