Adrenal Pseudocyst Mimicking a Pheochromocytoma Found after a Traffic Accident
Autor: | Kimiko Ota, Akemi Inagaki, Toyonori Tsuzuki, Hidetaka Suga, Seiko Taguchi, Tomoko Kato, Keisuke Yokoi, Takeharu Itatsu, Satoshi Kakiya |
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Rok vydání: | 2003 |
Předmět: |
Adult
Male Pathology medicine.medical_specialty medicine.medical_treatment Adrenal Gland Diseases Adrenal Gland Neoplasms Pheochromocytoma Diagnosis Differential chemistry.chemical_compound Catecholamines Primary aldosteronism Renin–angiotensin system Internal Medicine Humans Medicine Radionuclide Imaging Aldosterone Cysts business.industry Traffic accident Adrenalectomy Accidents Traffic General Medicine medicine.disease chemistry Catecholamine Adrenal pseudocyst business medicine.drug |
Zdroj: | Internal Medicine. 42:66-71 |
ISSN: | 1349-7235 0918-2918 |
Popis: | We report a case of adrenal pseudocyst difficult to differentiate from pheochromocytoma. A right adrenal mass was found in a 41-year-old man after a traffic accident. Plasma level of renin was low, plasma level of aldosterone, and urine levels of aldosterone and catecholamines were high. Dynamic tests for primary aldosteronism and pheochromocytoma were negative. Noabnormal uptake was shown in 131I-adosterol or 131I-MIBG scintigram. Adrenal venous sampling presented high levels of catecholamines. Laparoscopic adrenalectomy was performed. Histological examination revealed a pseudocyst with a thick fibrocollagenous wall. Wediscuss the mechanism of high catecholamine levels in the right adrenal vein.(Internal Medicine 42: 66-71, 2003) |
Databáze: | OpenAIRE |
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