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. 1987 Feb;57(2):194–198. doi: 10.1136/hrt.57.2.194

Transient shock and myocardial impairment caused by phaeochromocytoma crisis.

T R Shaw, P Rafferty, G W Tait
PMCID: PMC1277106  PMID: 3814455

Abstract

A patient admitted to hospital after injury to the abdomen was found to have transient hypertension which was followed by profound hypotension. ST elevation developed and extensive myocardial akinesia was seen at echocardiography, but coronary angiograms at this stage were normal. After treatment with intravenous fluids and dopamine he progressively recovered normal cardiac function. A partly necrotic catecholamine secreting tumour was later removed from the abdomen and it is likely that a kick to the abdomen had damaged the tumour and the consequent release of catecholamine had triggered a phaeochromocytoma crisis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRUNJES S., JOHNS V. J., Jr, CRANE M. G. Pheochromocytoma: postoperative shock and blood volume. N Engl J Med. 1960 Feb 25;262:393–396. doi: 10.1056/NEJM196002252620805. [DOI] [PubMed] [Google Scholar]
  2. Bahemuka M. Phaeochromocytoma with schizophreniform psychosis. Br J Psychiatry. 1983 Apr;142:422–423. doi: 10.1192/bjp.142.4.422. [DOI] [PubMed] [Google Scholar]
  3. Baker G., Zeller N. H., Weitzner S., Leach J. K. Pheochromocytoma without hypertension presenting as cardiomyopathy. Am Heart J. 1972 May;83(5):688–693. doi: 10.1016/0002-8703(72)90410-3. [DOI] [PubMed] [Google Scholar]
  4. Bouchez C., Ostermann G., Hécart J., Elaerts J., Bajolet A. Les manifestations cardiaques des phéochromocytomes. Etude anatomo-clinique. Arch Mal Coeur Vaiss. 1979 Nov;72(Spec No):90–95. [PubMed] [Google Scholar]
  5. Bound J. P. Spina bifida and vitamins. Br Med J (Clin Res Ed) 1983 Jan 8;286(6359):147–147. doi: 10.1136/bmj.286.6359.147. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Delaney J. P., Paritzky A. Z. Necrosis of a pheochromocytoma with shock. N Engl J Med. 1969 Jun 19;280(25):1394–1395. doi: 10.1056/NEJM196906192802508. [DOI] [PubMed] [Google Scholar]
  7. Delarue N. C., Morrow J. D., Kerr J. H., Colapinto R. F. Pheochromocytoma in the modern context. Can J Surg. 1978 Sep;21(5):387–394. [PubMed] [Google Scholar]
  8. Engelman K. Phaeochromocytoma. Clin Endocrinol Metab. 1977 Nov;6(3):769–797. doi: 10.1016/s0300-595x(77)80079-0. [DOI] [PubMed] [Google Scholar]
  9. Gillmer R. E. Phaeochromocytoma--an interesting psychiatric presentation. S Afr Med J. 1972 Feb 19;46(8):174–176. [PubMed] [Google Scholar]
  10. HUSTON J. R., STEWART W. R. HEMORRHAGIC PHEOCHROMOCYTOMA WITH SHOCK AND ABDOMINAL PAIN. Am J Med. 1965 Sep;39:502–504. doi: 10.1016/0002-9343(65)90217-2. [DOI] [PubMed] [Google Scholar]
  11. Haft J. I. Cardiovascular injury induced by sympathetic catecholamines. Prog Cardiovasc Dis. 1974 Jul-Aug;17(1):73–86. doi: 10.1016/0033-0620(74)90039-5. [DOI] [PubMed] [Google Scholar]
  12. Jones D. J., Durning P. Phaeochromocytoma presenting as an acute abdomen: report of two cases. Br Med J (Clin Res Ed) 1985 Nov 2;291(6504):1267–1268. doi: 10.1136/bmj.291.6504.1267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Levine S. N., McDonald J. C. The evaluation and management of pheochromocytomas. Adv Surg. 1984;17:281–313. [PubMed] [Google Scholar]
  14. McManus B. M., Fleury T. A., Roberts W. C. Fatal catecholamine crisis in pheochromocytoma: curable cause of cardiac arrest. Am Heart J. 1981 Nov;102(5):930–932. doi: 10.1016/0002-8703(81)90045-4. [DOI] [PubMed] [Google Scholar]
  15. Menozzi C., Monducci I., Vergoni W., Lolli G., Gheller G., Casali G. Infarto miocardico acuto in soggetti giovani quale manifestazione di feocromocitoma. A proposito di due casi. G Ital Cardiol. 1982;12(8):604–608. [PubMed] [Google Scholar]
  16. Radtke W. E., Kazmier F. J., Rutherford B. D., Sheps S. G. Cardiovascular complications of pheochromocytoma crisis. Am J Cardiol. 1975 May;35(5):701–705. doi: 10.1016/0002-9149(75)90060-0. [DOI] [PubMed] [Google Scholar]
  17. Sutton M. G., Sheps S. G., Lie J. T. Prevalence of clinically unsuspected pheochromocytoma. Review of a 50-year autopsy series. Mayo Clin Proc. 1981 Jun;56(6):354–360. [PubMed] [Google Scholar]
  18. Valk T. W., Frager M. S., Gross M. D., Sisson J. C., Wieland D. M., Swanson D. P., Mangner T. J., Beierwaltes W. H. Spectrum of pheochromocytoma in multiple endocrine neoplasia. A scintigraphic portrayal using 131I-metaiodobenzylguanidine. Ann Intern Med. 1981 Jun;94(6):762–767. doi: 10.7326/0003-4819-94-6-762. [DOI] [PubMed] [Google Scholar]
  19. Van Vliet P. D., Burchell H. B., Titus J. L. Focal myocarditis associated with pheochromocytoma. N Engl J Med. 1966 May 19;274(20):1102–1108. doi: 10.1056/NEJM196605192742002. [DOI] [PubMed] [Google Scholar]
  20. Velasquez G., D'Souza V. J., Hackshaw B. T., Glass T. A., Formanek A. G. Phaeochromocytoma and cardiomyopathy. Br J Radiol. 1984 Jan;57(673):89–92. doi: 10.1259/0007-1285-57-673-89. [DOI] [PubMed] [Google Scholar]
  21. el-Matri A., Slim R., Zmerli S., Ayed H. B. Phéochromocytome avec troubles psychiatriques. Un cas. Nouv Presse Med. 1978 Apr 29;7(17):1467–1470. [PubMed] [Google Scholar]

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