Abstract
A 28-year-old woman was admitted to hospital with acute pulmonary edema, mild abdominal discomfort and hyperamylasemia. From the 2nd hospital day hypertensive episodes occurred daily. The furosemide screening test for renovascular hypertension revealed elevated plasma renin activity (PRA) but an intravenous pyelogram revealed a right suprarenal mass and no evidence of renovascular compression. Elevated values of plasma and urinary catecholamines indicated a pheochromocytoma, and a single chromaffin tumour was resected. It is important to monitor left ventricular filling pressure during operative removal of a pheochromocytoma. Postoperatively the patient had normal blood pressure and PRA. Decreased urinary amylase clearance and abnormal pancreatic and salivary amylase isoenzymes were found.
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- Berk J. E. Big amylase, little amylase, and urinary amylase. Lancet. 1973 May 26;1(7813):1188–1189. doi: 10.1016/s0140-6736(73)91193-8. [DOI] [PubMed] [Google Scholar]
- Castleman B., Scully R. E., McNeely B. U. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 19-1973. N Engl J Med. 1973 May 10;288(19):1010–1018. doi: 10.1056/NEJM197305102881909. [DOI] [PubMed] [Google Scholar]
- Harrison T. S., Birbari A., Seaton J. F. Malignant hypertension in pheochromocytoma: correlation with plasma renin activity. Johns Hopkins Med J. 1972 May;130(5):329–332. [PubMed] [Google Scholar]
- KLINE I. K. Myocardial alterations associated with pheochromocytomas. Am J Pathol. 1961 May;38:539–551. [PMC free article] [PubMed] [Google Scholar]
- Levitt M. D., Rapoport M., Cooperband S. R. The renal clearance of amylase in renal insufficiency, acute pancreatitis, and macroamylasemia. Ann Intern Med. 1969 Nov;71(5):919–925. doi: 10.7326/0003-4819-71-5-919. [DOI] [PubMed] [Google Scholar]
- RONA G., CHAPPEL C. I., BALAZS T., GAUDRY R. An infarct-like myocardial lesion and other toxic manifestations produced by isoproterenol in the rat. AMA Arch Pathol. 1959 Apr;67(4):443–455. [PubMed] [Google Scholar]
- Van Way C. W., 3rd, Michelakis A. M., Alper B. J., Hutcheson J. K., Rhamy R. K., Scott H. W., Jr Renal vein renin studies in a patient with renal hilar pheochromocytoma and renal artery stenosis. Ann Surg. 1970 Aug;172(2):212–217. doi: 10.1097/00000658-197008000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vander A. J. Effect of catecholamines and the renal nerves on renin secretion in anesthetized dogs. Am J Physiol. 1965 Sep;209(3):659–662. doi: 10.1152/ajplegacy.1965.209.3.659. [DOI] [PubMed] [Google Scholar]
- Wallach L., Nyarai I., Dawson K. G. Stimulated renin: a screening test for hypertension. Ann Intern Med. 1975 Jan;82(1):27–34. doi: 10.7326/0003-4819-82-1-27. [DOI] [PubMed] [Google Scholar]
- Werning C., Ziegler W. H., Baumann K., Endres P., Gysling E., Weidmann P., Siegenthaler W. Die Plasma-Renin-Aktivität beim Phäochromozytom. Dtsch Med Wochenschr. 1970 Jan 16;95(3):117–passim. doi: 10.1055/s-0028-1108422. [DOI] [PubMed] [Google Scholar]