scholarly journals Polyserositis: An Extremely Rare Life-Threatening Manifestation of Pheochromocytoma

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Maryam Heidarpour ◽  
Mohammad Ali Haghighatpanah ◽  
Hassan Rezvanian ◽  
Motahare Yadegarfar ◽  
Amir Mohammad Mozafari ◽  
...  

The pericardium is an uncommon site for manifestation of pheochromocytoma. Herein, the case of a 57-year-old man with cardiac tamponade is presented. Pericardiocentesis was performed, and the vital signs were stabilized afterwards. An abdominal computed tomography (CT) scan illustrated a nonhomogeneous right adrenal mass suspicious of pheochromocytoma, planned for right adrenalectomy. He recovered well after surgery, and his subsequent follow-ups did not reveal any complications.

2018 ◽  
Vol 218 (1) ◽  
pp. S59
Author(s):  
Michal Fishel Bartal ◽  
Baha Sibai ◽  
Tali Ben-Mayor Bashi ◽  
Ayelet Dangot ◽  
Irit Eisen ◽  
...  

2021 ◽  
Vol 31 (03) ◽  
pp. 754-757
Author(s):  
Dhanya Jacob ◽  
Thara Pratap ◽  
Anand Kumar ◽  
Rashmi R. ◽  
Vishnu A. K.

AbstractPericardial tumors are very rare. It can be primary or secondary, of which secondary tumors are more common. Pericardial hemangiomas are extremely rare primary neoplasms and there are only very few cases published in the literature. These patients can be asymptomatic. When symptomatic, they present with dyspnea, palpitation, or atypical chest pain. Severity of symptoms depends on the size and location of the tumor. Pericardial effusion with features of cardiac tamponade can lead to a life-threatening situation. Here, we report a case of pericardial hemangioma in a patient who presented with breathlessness and tamponade which was diagnosed preoperatively with computed tomography.


2021 ◽  
Vol 14 (5) ◽  
pp. e241661
Author(s):  
Neeti Agrawal ◽  
Avivar Awasthi ◽  
Rahin Mahata ◽  
Partha Pratim Chakraborty

Computed tomography (CT) scan is a useful and widely performed diagnostic modality to evaluate adrenal masses. Nature of the mass determines the degree of attenuation both in unenhanced and in different phases of contrast enhancement. Benign neurogenic tumours like ganglioneuroma mimicks pheochromocytoma and adrenocortical carcinoma in non-contrast CT scan. The ‘adrenal protocol’ routinely calculates the wash-out pattern at delayed venous phase (DVP) (15 min) following contrast administration to differentiate majority of benign masses from the malignant ones. Ganglioneuromas typically exhibit continuous wash-in of contrast where enhancement gradually increases to attain its peak in DVP. Such wash-in pattern is different from the wash-out pattern observed in pheochromocytomas or adrenocortical adenomas or carcinomas. Presence of this wash-in pattern provides a useful clue to the clinician for underlying ganglioneuroma in hormonally inactive adrenal masses with suspicious morphological appearances. This wash-in pattern also effectively rules out any malignant potential of ganglioneuroma, and thus helps in preoperative decision-making.


2015 ◽  
Vol 7 (5) ◽  
pp. 212 ◽  
Author(s):  
Ayman El-Menyar ◽  
Marym Al-Sulaiti ◽  
Hesham ElGohary ◽  
Ahmed Al-Malki ◽  
Mohammad Asim ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
pp. 29-32
Author(s):  
Smiti Y ◽  
Oussama C ◽  
Othman A ◽  
Kallouch L ◽  
Omor Y ◽  
...  

Introduction: Pneumopericardium is defined as a collection of air or gas in the pericardium, and considered a rare and innocuous condition. It may progress to tension and cardiac tamponade and may become life-threatening in many instances. In this publication, we will share the case of a pneumopericardium which occurred for middle-aged women treated for liver carcinoma after a laparotomic surgery. Discussion: Pneumopericardium was once defined as a collection of air or gas in the pericardium, and considered a rare and innocuous condition. The most common etiology of pneumopericardium is blunt trauma. Also, air may dissect into the mediastinum from the retroperitoneal space following the perforation of a hollow viscous or infection with gas-producing organisms. Other causes of pneumopericardium include iatrogenic complications during chest or abdominal surgeries. Diagnosis of spontaneous pneumopericardium can often be made with a formal two-view Chest X-Ray or CT scan. The treatment of air in the pericardial space depends on the type of pneumopericardium present and whether or not there is associated cardiac tamponade. However, tension pneumopericardium can be effectively relieved by pericardiocentesis or tube decompression and the underlying cause subsequently determined. Conclusion: In conclusion, surgeons should be aware of the possibility of pneumopericardium for patients with chest pain after a laparoscopic procedure and look for electrocardiographic abnormalities. It is important to outline the important role of the chest CT scan to search for pneumothorax or pneumomediastinum.


2018 ◽  
Vol 33 (4) ◽  
pp. 577-582 ◽  
Author(s):  
Michal Fishel Bartal ◽  
Baha M. Sibai ◽  
Tali Ben-Mayor Bashi ◽  
Ayelet Dangot ◽  
Irit Schushan Eisen ◽  
...  

2014 ◽  
Vol 146 (5) ◽  
pp. S-805
Author(s):  
Amitasha Sinha ◽  
Sumera Ali ◽  
Michael Cruise ◽  
Karen Matsukuma ◽  
Siva P. Raman ◽  
...  

2019 ◽  
Vol 26 (5) ◽  
pp. 519-527 ◽  
Author(s):  
Gabriele Bellio ◽  
Tommaso Cipolat Mis ◽  
Roberto Del Giudice ◽  
Gabriele Munegato

Background. Incisional hernias (IHs) can develop in up to 15% of patients who underwent an abdominal surgical procedure. Abdominal computed tomography (CT) is the best examination to evaluate these patients before surgical repair. The aim of this study is to assess the usefulness of the abdominal CT scan during Valsalva’s maneuver in patients who are candidates for surgery. Methods. A retrospective cohort analysis conducted on prospectively recorded data was performed on 26 consecutive patients affected by IHs who underwent a preoperative abdominal CT scan both at rest and during Valsalva’s maneuver between January 1, 2015, and December 31, 2016. Results. Five patients (19%) had IH classified as M1-M2, 10 (39%) as M3, and 11 (42%) as M4-M5. Both the median IH orifice area (IHOA) and the median volume of the IH increased during straining ( P = .001 and P < .001, respectively). The percentage of the difference in volume ratios increased as the localization of the IH moved caudally. At the binary logistic regression analysis M3 IH, body mass index >28, IHOA > 156 cm2 at rest, and IHOA > 138 cm2 during Valsalva’s maneuver were risk factors for posterior component separation. Conclusions. The preoperative CT scan both at rest and during Valsalva’s maneuver seemed useful to estimate the risk of difficult IH repairs. Moreover, it could allow surgeons to decide if the patient should be addressed to more specialized centers.


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