Document Detail


A case of ischemic colitis associated with pheochromocytoma.
MedLine Citation:
PMID:  9448195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 40-year-old woman was admitted because of abdominal pain and diarrhea. She sometimes experienced paroxysmal hypertension, sweating, headache, and palpitation. Sigmoidoscopic findings showed well-demarcated diffuse mucosal edema, hyperemia, and easy touch bleeding from distal descending colon up to the splenic flexure area. Barium x-ray showed loss of haustral marking, thumb printing appearance, and diffuse luminal stenosis in the transverse, descending, and sigmoid colon. On the abdominal computed tomogram, a 3.8-cm sized well-enhanced right adrenal mass was incidentally found. Twenty-four hour urinary excretion of vanillyl mandelic acid, norepinephrine, and normetanephrine were increased. Iodine131 metaiodobenzylguanidine scan showed hot uptake on the right adrenal gland compatible with pheochromocytoma. Exploratory laparotomy was done under the impression of ischemic colitis associated with pheochromocytoma. Adrenalectomy and resection of the stenotic left colon were performed. After surgery, pain subsided, blood pressure fell gradually, blood sugar and catecholamine level became normal, and bowel habit returned to normal.
Authors:
C I Sohn; J J Kim; Y H Lim; P L Rhee; K C Koh; S W Paik; J C Rhee; J H Chung; M S Lee; J H Yang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of gastroenterology     Volume:  93     ISSN:  0002-9270     ISO Abbreviation:  Am. J. Gastroenterol.     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-09     Completed Date:  1998-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421030     Medline TA:  Am J Gastroenterol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  124-6     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Samsung Medical Center, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / complications*,  diagnosis,  surgery
Adrenalectomy
Adult
Colitis, Ischemic / complications*,  diagnosis,  radiography
Female
Humans
Pheochromocytoma / complications*,  diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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