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CLC number: R736.6

On-line Access: 2017-05-04

Received: 2016-09-09

Revision Accepted: 2017-01-21

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Journal of Zhejiang University SCIENCE B 2017 Vol.18 No.5 P.449-452

http://doi.org/10.1631/jzus.B1600411


Recurrence of non-cardiogenic pulmonary edema and sustained hypotension shock in cystic pheochromocytoma


Author(s):  Jin Dai, Shen-jie Chen, Bing-sheng Yang, Shu-min Lü, Min Zhu, Yi-fei Xu, Jie Chen, Hong-wen Cai, Wei Mao

Affiliation(s):  Department of Cardiology, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou 310006, China; more

Corresponding email(s):   dannis606@163.com, maoweilw@163.com

Key Words:  Pheochromocytoma, Non-cardiogenic pulmonary edema, Sustained hypotension, Acute coronary syndrome


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Jin Dai, Shen-jie Chen, Bing-sheng Yang, Shu-min Lü, Min Zhu, Yi-fei Xu, Jie Chen, Hong-wen Cai, Wei Mao. Recurrence of non-cardiogenic pulmonary edema and sustained hypotension shock in cystic pheochromocytoma[J]. Journal of Zhejiang University Science B, 2017, 18(5): 449-452.

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journal="Journal of Zhejiang University Science B",
volume="18",
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pages="449-452",
year="2017",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1600411"
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A1 - Shen-jie Chen
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A1 - Min Zhu
A1 - Yi-fei Xu
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A1 - Wei Mao
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DOI - 10.1631/jzus.B1600411


Abstract: 
pheochromocytoma is a rare neuroendocrine tumor which derives from chromaffin cells of the adrenal gland or relevant to sympathetic nerves and ganglia. The clinical features of pheochromocytoma are various. Paroxysmal episodes of serious hypertension, headache, palpitation, and diaphoresis are the typical manifestations (Bravo, 2004). Hypotension shock, pulmonary edema, and acute coronary syndrome induced by pheochromocytoma are uncommon (Malindretos et al., 2008; Batisse-Lignier et al., 2015). In this study, we present a rare case of cystic pheochromocytoma causing recurrent hypotension shock, non-cardiogenic pulmonary edema, and acute coronary syndrome, and the possible mechanisms are discussed.

囊性嗜铬细胞瘤复发非心源性肺水肿和持续性低血压休克

概要:本文介绍一例以胸痛、呼吸困难为主要表现,反复发生非心源性肺水肿、持续性低血压和急性冠脉综合征的囊性嗜铬细胞瘤患者。囊性嗜铬细胞瘤合并多种严重并发症临床上少有报道,容易误诊和漏诊。对于出现肺水肿、持续性低血压和急性冠脉综合征等严重体征,临床诊断又不明确的患者,需要考虑嗜铬细胞瘤的可能。
关键词:囊性嗜铬细胞瘤;非心源性肺水肿;持续性低血压;急性冠脉综合征

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Reference

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[15]List of electronic supplementary materials

[16]Fig. S1 Contrast-enhanced computed tomography scan of chest

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