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- You Jin Han, So Young Ock, Eun Jung Kim, Ho Sik Shin, Yeon Soon Jung, and Hark Rim.
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.
- Sao Paulo Med J. 2015 Mar 1; 133 (2): 154159154-9.
ContextPheochromocytoma is a catecholamine-producing tumor characterized by hypertension, headache, tachycardia, excessive diaphoresis and angina. The thunderclap headache is so named because the pain strikes suddenly and severely. Although the symptoms of bladder pheochromocytoma are rather evident, the diagnosis of this rare neuroendocrine tumor can be missed.Case ReportThis study reports the case of a woman diagnosed with bladder pheochromocytoma who experienced thunderclap headache triggered by micturition and angina as an initial manifestation.ConclusionThis case study suggests that thunderclap headache and angina occurring concurrently with sudden blood pressure elevation during or immediately after micturition are important diagnostic clues for bladder pheochromocytoma.
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