scholarly journals Case Report: An Unusual First Manifestation of a Pheochromocytoma

2021 ◽  
Vol 12 ◽  
Author(s):  
Qiangrong Zhai ◽  
Ci Tian ◽  
Zhengzhao Deng ◽  
Congrong Liu ◽  
Qingbian Ma

We present a 30-year old male presented with hemoptysis as a first manifestation and pulmonary CT scan characteristic of diffuse alveolar hemorrhage. Further abdominal examination discovered a left adrenal mass. Elevated catecholamine and metanephrine levels and subsequent adrenalectomy confirmed the diagnosis of pheochromocytoma. Symptoms of pheochromocytoma are highly variable, which could potentially delay the diagnosis. With careful investigation, emergency medicine practitioners need to be aware of the cunning and changeful manifestations in pheochromocytoma.

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yumin Jo ◽  
Jagyung Hwang ◽  
Jieun Lee ◽  
Hansol Kang ◽  
Boohwi Hong

Abstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmonary edema resulting from acute airway obstruction, such as laryngospasm, although hemorrhage itself is rare. Case presentation This case report describes an unexpected hemoptysis following monitored anesthesia care for vertebroplasty. A 68-year-old Asian woman, with a compression fracture of the third lumbar vertebra was admitted for vertebroplasty. There were no noticeable events during the procedure. After the procedure, the patient was transferred to the postanesthesia care unit (PACU), at which sudden hemoptysis occurred. The suspected airway obstruction may have developed during transfer or immediate arrive in PACU. In postoperative chest x-ray, newly formed perihilar consolidation observed in both lung fields. The patients was transferred to a tertiary medical institution for further evaluation. She diagnosed with DAH for hemoptysis, new pulmonary infiltrates on chest x-ray and anemia. The patient received supportive care and discharged without further events. Conclusions Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology.


Author(s):  
Kosuke Uemura ◽  
Momoko Isono ◽  
Katsunori Kagohashi ◽  
Ryuichi Hasegawa ◽  
Hiroaki Satoh

2021 ◽  
Author(s):  
Laura Maria Silva de Siqueira ◽  
Douglas Squizatto Leite ◽  
João Flávio Gomes Faria ◽  
Daniela Esteves Temporim ◽  
Matheus Zanata Brufatto ◽  
...  

Henrique Pereira Sampaio , Luiz Eduardo Valente , Sula Glaucia Lage Drumond Pacheco , Sean Hideo Shirata Lanças


Author(s):  
Baran Balcan ◽  
Ergun Simsek ◽  
Aylin Ozsancak Ugurlu ◽  
Ebru Demiralay ◽  
Sevgi Sahin

2012 ◽  
Vol 63 (2) ◽  
pp. 165 ◽  
Author(s):  
Jin Pyeong Kim ◽  
Jung Je Park ◽  
Nam Ju Kim ◽  
Seung Hoon Woo

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