• Internal medicine · Jul 2023

    Case Reports

    Pheochromocytoma Multisystem Crisis Complicated by Severe Acute Pancreatitis.

    • Hidefumi Inaba, Yosuke Kaido, Daisuke Kosugi, Yuki Asai, Shinya Ogino, Shogo Nakano, Saya Ito, Tomonao Hirobata, Kazuo Ono, Kosuke Minaga, Shuhei Morita, and Gen Inoue.
    • Department of Diabetes and Endocrinology, Japanese Red Cross Wakayama Medical Center, Japan.
    • Intern. Med. 2023 Jul 1; 62 (13): 195719631957-1963.

    AbstractA 43-year-old man developed headache, dizziness, abdominal pain, and vomiting. His blood pressure was 203/121 mmHg, heart rate 122 beats/min, body temperature 39.1°C, and respiratory rate 24/min. He had elevated levels of creatinine at 2.95 mg/dL and lipase at 1,364 U/L as well as an extremely low calcium level at 5.2 mg/dL. Hypertriglyceridemia and hyperglycemia were seen. Chest and abdominal computed tomography showed interstitial pneumonia, severe pancreatitis, and a right adrenal tumor. The patient also developed vertebral artery dissection and medullary infarction. After right adrenalectomy, the patient was diagnosed with pheochromocytoma multisystem crisis (PMC). Acute pancreatitis might augment numerous life-threatening manifestations of PMC.

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