Adrenal artery aneurysm encountered during laparoscopic adrenalectomy for pheochromocytoma

Glocker, Roan J.; Ruan, Daniel T.; Gillespie, David L.; Wittlin, Steven D.; Dombrowski, D J; Moalem, Jacob

doi:10.1016/j.jvs.2010.11.128

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…8 Adrenal artery aneurysms are a rare cause of retroperitoneal hemorrhage with only 8 previous cases described in the literature. [9][10][11][12][13][14][15][16] The etiology is unknown. Congenital malformation of the artery or disease processes that impair the integrity of the arterial wall have been implicated.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of the Adrenal Artery Successfully Treated Using the Endovascular Approach

Patel

Downing

Vijay

2013

Vasc Endovascular Surg

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Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of the Adrenal Artery Successfully Treated Using the Endovascular Approach

Patel

Downing

Vijay

2013

Vasc Endovascular Surg

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“…Several patients with pheochromocytoma complicated with an arterial aneurysm (e.g. in the renal [14,15], adrenal [16], cerebral [17], pancreaticoduodenal [18], or abdominal artery [19]) have been described to date. These cases suggest that arterial aneurysm is rare but can be a complication of pheochromocytoma; however, we could not find any earlier reports that referred to the etiology (e.g.…”

Section: Discussionmentioning

confidence: 99%

A case of paroxysmal pheochromocytoma concurrent with coronary artery aneurysm presenting as acute coronary syndrome

Moriwaki

Tanaka

Ohtsubo

et al. 2013

Journal of Cardiology Cases

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A 51-year-old man recently diagnosed with preclinical Cushing's syndrome complained of chest oppression concomitant with back pain. Following contrast-enhanced computed tomography (CT) to rule out acute aortic dissection, he developed chest symptoms accompanied by elevation of blood pressure to 240/120 mmHg and ischemic electrocardiographic change. Urgent coronary angiography revealed a coronary artery aneurysm (15 mm × 6 mm) in the distal portion of the left anterior descending artery concomitant with coronary flow delay. Re-analysis of the blood sample taken at admission showed elevated plasma catecholamine concentrations, leading to a diagnosis of paroxysmal pheochromocytoma. An adrenal tumor was excised laparoscopically and histologically shown to be a pheochromocytoma. These findings show that coronary artery aneurysm may be a rare complication of pheochromocytoma, and indicate that monitoring of blood pressure or analysis of stored blood samples, if necessary, is essential to detect pheochromocytoma when using contrast medium or glucagon in patients known to have an adrenal incidentaloma. It should be noted that pre-treatment with an ␣-blocker is necessary when patients who are likely to have pheochromocytoma need to undergo contrast-enhanced CT.

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“…There are only 8 cases reported in the literature. 1 , 2 Here we report a rare case of RCC with leiomyomatous stroma and a concomitant adrenal aneurysm.…”

Section: Introductionmentioning

confidence: 86%

A Rare Case of Renal Cell Carcinoma With Leiomyomatous Stroma and Concomitant Ruptured Adrenal Aneurysm

Nicastri

Shao

2016

Urology Case Reports

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Here we report a rare case of coexisting renal cell carcinoma (RCC) with leiomyomatous stroma and a ruptured adrenal aneurysm. The patient was a 75-year-old woman with acute abdominal pain. Imaging studies showed a left peri-renal hematoma and a mass in the left kidney. Left nephrectomy and adrenalectomy were performed. Pathological examination showed a ruptured aneurysm in the left adrenal gland. The renal mass was composed of tubules and acini of epithelial cells and a prominent leiomyomatous stroma. The tumor cells were positive for carbonic anhydrase IX, cytokeratin 7, and negative for AMACR, consistent with clear cell (tubulo) papillary RCC.

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Adrenal artery aneurysm encountered during laparoscopic adrenalectomy for pheochromocytoma

Cited by 5 publications

References 9 publications

Spontaneous Rupture of the Adrenal Artery Successfully Treated Using the Endovascular Approach

Spontaneous Rupture of the Adrenal Artery Successfully Treated Using the Endovascular Approach

A case of paroxysmal pheochromocytoma concurrent with coronary artery aneurysm presenting as acute coronary syndrome

A Rare Case of Renal Cell Carcinoma With Leiomyomatous Stroma and Concomitant Ruptured Adrenal Aneurysm

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