Korean J Pancreas Biliary Tract.  2019 Jul;24(3):127-132. 10.15279/kpba.2019.24.3.127.

Pheochromocytoma with Hypertensive Crisis Caused by Endoscopic Ultrasound-guided Tissue Sampling

Affiliations
  • 1Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. cmcho@knu.ac.kr
  • 2Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
  • 3Department of Radiology, School of Medicine, Kyungpook National University, Daegu, Korea.
  • 4Department of Pathology, School of Medicine, Kyungpook National University, Daegu, Korea.

Abstract

Although pheochromocytoma usually presents as a solid tumor, it can also present as a cystic lesion in the adrenal glands. Cystic lesions in the adrenal glands, along with hypertension, need attention to exclude pheochromocytoma. If ignored, they may lead to a hypertensive crisis with multi-organ failure. Proper preoperative preparation is important to prevent a hypertensive crisis during and after surgery. We report a case of pheochromocytoma with cystic degeneration that presented as a hypertensive crisis caused by endoscopic ultrasound-guided tissue sampling.

Keyword

Pheochromocytoma; Hypertension; Fine needle biopsy; Endosonography
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