(English) Pheochromocytoma Runing a Course Characterized by Reversible Severe Multiple Organ Failure – Case Report

Department of Internal Medicine, Medical Faculty, Thracian University-StaraZagora

 

Abstract:

This is a report on a male patient aged 46 years, admitted to the clinic in a critical condition against the background of consecutive hypertonic attack, presenting the picture of serious pulmonary edema of noncardiogenic and cardiogenic type and acute renal failure (ARF) from rhabdomyolysis due tocatecholamine-mediated vasoconstriction and ischemia of skeletal muscles. The elevated amylase levels, attributable to pulmonary endothelium damage and abdominal pain mimick acute pancreatitis. Following active resuscitation measures and con¬servative therapeutic approach, the functions of respiratory and cardiovascular systems, kidneys, pancreas, and deviations in electrolyte and CPK blood levels are completely restored and returned to normal.

When pheochromocytoma is diagnosed, it should be promptly operated to preclude the afore-mentioned life-threatening complications

 

Keywords: pheochromocytoma, mul­tiple organ failure.