The coronal sectional image of computerized tomography creates an image that is similar to an excretory urogram. It also provides more clearly delineated renal image and image of adjacent organs than an excretory urogram. Further more, the number, extent, and content of renal mats lesions used to discriminate density difference can be determined with relatively great accuracy. This image of computerized tomography is useful to understand and make a diagnosis of renal disease. Coronal sectional image of computerized tomography is more informative in evaluation of retroperitoneum space than conventional radiography. Recently we observed several cases of renal disease-renal cell ca, simple renal cyst, angiomyolipoma, retroperitoneal teratoma, pheochromocytoma, hydronephrosis which could be detected with coronal sectional image of computerized tomography.
Angiomyolipoma ; Diagnosis ; Hydronephrosis ; Pheochromocytoma ; Radiography ; Teratoma

Pheochromocytoma is a rare, but an important cause of surgically curable hypertension. Pheochromocytoma is a highly vascular tumor and not infrequently undergoes hemorrhagic necrosis and pseudocyst formation. Such cystic pheochromocytoma may be accompanied by shock and sepsis and commonly invade adjacent organs, in which cases its diagnosis and management may be difficult. Herein we present a case of adrenal cystic pheochromocytoma which was accompanied by sepsis and hypertension and mimicked pararenal abscess with a review of literatures.
Abscess ; Diagnosis ; Hypertension ; Necrosis ; Pheochromocytoma* ; Sepsis ; Shock

Pheochromocytomas are catecholamine-producing tumors that typically cause hypertension. They are rare tumors that can pose problems in diagnosis and detection. Although they usually present classic symptoms, they can at times present symptoms that mimic other clinical conditions. Especially, children have fewer malignant tumors, non-extra-adrenal tumors, and tumors with greater bilaterality and multiplicity. The diagnosis of pheochromocytomas is based upon clinical suspicion and biochemical study. Radiologic localization is obtained before operation because of the variable location of this tumor. The treatment of choice is surgical resection. We reports a case of asymptomatic pheochromocytoma that was treated with tumor excision. To prevent intraoperative and postoperative complications, precise preoperative diagnosis and localization, as well as adequate preoperative management, are necessary.
Child ; Diagnosis ; Humans ; Hypertension ; Pheochromocytoma* ; Postoperative Complications

Between 1980 and 1991, we managed 12 cases of pheochromocytoma which consisted of 1 case of vesical pheochromocytoma, 1 case of malignant adrenal pheochromocytoma and 10 cases of benign adrenal pheochromocytoma including one case of bilateral pheochromocytoma. There were 6 men and 6 women and their mean are was 47 ranging from 17 to 67. Eleven patients complained of hypertension and headache. and one symptom free patient had nonfunctioning vesical pheochromocytoma. After diagnosis. various surgical management were proceeded in 11 patients. 1 patient who had bilateral tumor refused any operation`. Mean duration of follow-up after operation was 40.5 months (ranging from 8 to 127). Ten surgically mats were alive during follow up but one died of malignant adrenal pheochromocytoma 9 months after operation. One patient who received nonsurgical treatment had hypertension and headache despite of continued medical therapy.
Diagnosis ; Female ; Follow-Up Studies ; Headache ; Humans ; Hypertension ; Male ; Pheochromocytoma*

This is a case report of a pheochromocytoma which developed in a 62-year-old woman. The diagnosis of a pheochromocytoma originating from the right adrenal gland was incidentally established rentgenologically. Transthoracic adrenalectomy was undertaken, and e tumor weighing 33gm was obtained. A case of an elderly person with a nonfunctioning pheochromocytoma is with presented with review of the literature.
Adrenal Glands ; Adrenalectomy ; Aged* ; Diagnosis ; Female ; Humans ; Middle Aged ; Pheochromocytoma*

A 30 year-old woman with a history of Behcet's disease was admitted to our clinic because of a paroxysmal attack of palpitations, headache, and ocular pain. Initially, we did not suspect a pheochromocytoma. We evaluated Behcet's disease activity because the cardiovascular and neurological symptoms mimicked those of Behcet's disease. Pheochromocytoma is often overlooked and can be fatal if not recognized and treated appropriately. In the present case, abdominal computerized tomography incidentally revealed a mass confirmed to be a pheochromocytoma in the left adrenal gland, and the tumor was successfully removed. This is the first Korean report of a pheochromocytoma in a patient with Behcet's disease. We suggest that pheochromocytoma should be included in the differential diagnosis of Behcet's disease if a patient presents with cardiovascular or neurological symptoms.
Adrenal Glands ; Behcet Syndrome ; Diagnosis, Differential ; Female ; Headache ; Humans ; Pheochromocytoma

Acute Coronary Syndrome ; diagnosis ; Adult ; Diagnosis, Differential ; Humans ; Male ; Pheochromocytoma ; diagnosis ; physiopathology

Adrenalectomy ; Female ; Humans ; Pheochromocytoma ; diagnosis ; surgery ; Tachycardia, Ventricular ; diagnosis ; Tomography, X-Ray Computed

Ectopic Cushing’s syndrome caused by pheochromocytoma is rare. We reported a 15-year-old female patient who was admitted to hospital with typical Cushing’s syndrome. She had not started menstruation. Her plasma adrenocorticotropic hormone (ACTH) and 24-hour urinary free cortisol levels were extremely high. Gonadal and progestational hormone levels were also abnormal. Abdominal computed tomography scans and enhanced scans revealed multiple irregular tumors in the right adrenal. Pelvic echogram showed an infantile uterus, while the ovaries were at an immature stage of development. Retroperitoneal laparoscopic right adrenalectomy was performed without intraoperative complications. Histology and immunohistochemistry of the tumor were consistent with pheochromocytoma. Retroperitoneal laparoscopic adrenalectomy is a safe procedure with satisfactory outcomes and allows for rapid recovery.
Adolescent ; Adrenal Gland Neoplasms ; diagnosis ; secretion ; therapy ; Adrenocorticotropic Hormone ; secretion ; Female ; Humans ; Pheochromocytoma ; diagnosis ; secretion ; therapy

Our experience of surgical management with 21 adrenal tumors between September 1980 and February 1993 is presented. The patients comprised 17 functioning adrenal tumors (5 primary aldosteronisms, 4 Cushing's syndromes, 6 pheochromocytomas and 2 neuroblastomas) and 4 nonfunctioning adrenal tumors (1 adrenal cyst, 1 adrenal cortical carcinoma, 1 adrenal adenoma and 1 metastatic adrenal carcinoma). The 21 patients in these series included 3 men and 18 women. Age was ranged from 11 years to 68 years at the time of presentation (average 35.8 years). Nine tumors occurred in the left adrenal gland, eleven in right and one in bilateral. Surgical approaches to the adrenal gland were transperitoneal in 11 cases and extraperitoneal in 10 cases. Among 17 functioning adrenal tumors, 13 cases underwent unilateral adrenalectomy, and 3 cases underwent unilateral adrenalectomy with nephrectomy. One case of pheochromocytoma underwent bilateral adrenalectomy. Among 4 non-functioning adrenal tumors, one case underwent unilateral adrenalectomy and 3 cases underwent unilateral adrenalectomy with nephrectomy. Operative complications occurred in 2 cases. One case with pneumothorax and the other case with electrolyte abnormality. The use of advanced radiographic and laboratory procedures results in the refinement of diagnosis and localization of tumors, enabling better surgical management of adrenal tumors. But some of underlying diseases should be differentiated by pathologic confirmation.
Adenoma ; Adrenal Glands ; Adrenalectomy ; Adrenocortical Carcinoma ; Diagnosis ; Female ; Humans ; Male ; Nephrectomy ; Pheochromocytoma ; Pneumothorax