Skip to main content
SpringerLink
Log in

Hemorrhagic necrosis of pheochromocytoma associated with reversible renal artery stenosis

  • Case Reports
  • Published:
The Japanese journal of surgery Aims and scope Submit manuscript

Abstract

An unusual case of pheochromocytoma associated with renal artery stenosis is described. Despite the removal of bilateral adrenal pheochromocytoma, laboratory findings suggested the presence of residual pheochromocytoma and abdominal aortography revealed more pronounced stenosis of the right renal artery. Two months later, the undetected residual pheochromocytoma underwent hemorrhagic necrosis with acute cessation of catecholamine release. Thereafter, the patient's blood pressure decreased to a normal level with marked improvement in hypertensive symptoms. No remaining stenosis was demonstrated on follow up renal angiography. Our case suggests that constant local secretion of catecholamines may be responsible for the development of renal artery stenosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Rosenheim ML, Ross EJ, Wrong OM, Hodson CJ, Davies DR, Smith JF. Unilateral renal ischemia due to compression of a renal artery by pheochromocytoma. Am J Med 1963; 34: 735–740.

    Article  PubMed  CAS  Google Scholar 

  2. Van Way CW, Michelakis AM, Alper BJ, Hutcheson JK, Rhamy RK, Scott HW Jr. Renal vein renin studies in a patient with renal hilar pheochromocytoma and renal artery stenosis. Ann Surg 1970; 172: 212–217.

    Article  PubMed  Google Scholar 

  3. Velick WF, Bookstein JJ, Talner LB. Pheochromocytoma with reversible renal artery stenosis. Am J Radiol 1978; 131: 1069–1071.

    CAS  Google Scholar 

  4. De Mendonca WC, Espat PA. Pheochromocytoma associated with arterial fibromuscular dysplasia. Am J Clin Pathol 1981; 75: 749–754.

    PubMed  Google Scholar 

  5. Castleman B, Scully RE, McNeely BU. Case records of the Massachusetts General Hospital: case 19. N Engl J Med 1973; 288: 1010–1018.

    Article  PubMed  CAS  Google Scholar 

  6. Abrams HC, Boijsen R, Borgstrom KE. Effect of epinephrine on the renal circulation. Radiology 1962; 79: 911–922.

    PubMed  CAS  Google Scholar 

  7. Boijsen E, Williams CM, Judkins MP. Angiography of pheochromocytoma. Am J Radiol 1966; 98: 225–232.

    CAS  Google Scholar 

  8. Sutton D. The radiological diagnosis of adrenal tumors. Br J Radiol 1975; 48: 237–258.

    Article  PubMed  CAS  Google Scholar 

  9. Harrison TS, Birbari A, Seaton JF. Malignant hypertension in pheochromocytoma: correlation with plasma renin activity. Johns Hopkins Med J 1972; 130: 329–332.

    PubMed  CAS  Google Scholar 

  10. Grossman SH, Gunnells JC, Berrebi G, Kirshner N, Ledbetter F, Mills SR. Pheochromocytoma with lateralizing renal vein renin activity. Arch Intern Med 1980; 140: 1677–1677.

    Article  PubMed  CAS  Google Scholar 

  11. Maebashi M, Miura Y, Yoshinaga K. Plasma renin activity of pheochromocytoma. Jpn Circ J 1968; 32: 1427–1432.

    PubMed  CAS  Google Scholar 

  12. Gilliland IC. Pheochromocytoma presenting as an abdominal emergency. Br Med J 1951; 2: 275–277.

    Article  PubMed  CAS  Google Scholar 

  13. Brody IA, Durham NC. Shock after administration of prochlorperazine in patient with pheochromocytoma. JAMA 1959; 169: 1749–1752.

    CAS  Google Scholar 

  14. Lehman DJ, Rosof J. Massive hemorrhage into an adrenal pheochromocytoma. N Engl J Med 1956; 254: 474–476.

    Article  PubMed  Google Scholar 

  15. Delaney JP, Paritzky AZ. Necrosis of pheochromocytoma with shock. N Engl J Med 1969; 280: 1394–1395.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Internal Medicine, Nagoya City Higashi General Hospital, 1-2-23 Wakamizu, Chikusa-ku, 464, Nagoya, Japan

    Atsumi Shibata & Nobuyuki Iwamura

  2. Department of Surgery, Nagoya City Higashi General Hospital, 1-2-23 Wakamizu, Chikusa-ku, 464, Nagoya, Japan

    Hirotaka Kishikawa MD, Hideki Tsuji, Itaru Takagi, Yosuke Yamakawa, Takuya Shimozato & Kyuji Honda

Authors
  1. Hirotaka Kishikawa MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hideki Tsuji
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Itaru Takagi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yosuke Yamakawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takuya Shimozato
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kyuji Honda
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Atsumi Shibata
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Nobuyuki Iwamura
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kishikawa, H., Tsuji, H., Takagi, I. et al. Hemorrhagic necrosis of pheochromocytoma associated with reversible renal artery stenosis. The Japanese Journal of Surgery 16, 46–51 (1986). https://doi.org/10.1007/BF02471069

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02471069

Key Words

Search

Navigation