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Kwak, Kim, Seo, Jang, Park, and Kim: A Case of Pheochromocytoma Presented with Cardiogenic Shock and Followed by Spontaneous Remission
Case Report
Endocrinology and Metabolism

Endocrinology and Metabolism 2010; 25(3): 236-239.

Published online: 30 September 2010

DOI: https://doi.org/10.3803/EnM.2010.25.3.236

A Case of Pheochromocytoma Presented with Cardiogenic Shock and Followed by Spontaneous Remission

Jae Wook Kwak, Jong Sang Kim, Yun Jong Seo, Jae Hui Jang, Sun Hui Park, Hyo Heon Kim1

Department of Internal Medicine, Sahmyook-Seoul Hospital, Seoul, Korea.

1Department of Radiology, Sahmyook-Seoul Hospital, Seoul, Korea.

Corresponding author: Sun Hui Park. Department of Internal Medicine, Sahmyook-Seoul Hospital, Huikyung 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: +82-2-2210-3282, Fax: +82-2-2212-2673, 1022p@hanmail.net

Received 18 March 2010       Accepted 30 May 2010

Copyright © 2010 Korean Endocrine Society

Abstract

Pheochromocytoma is derived from the chromaffin cells and patients with pheochromocytoma present with several signs and symptoms by producing, storing and secreting catecholamine. Spontaneous rupture or necrosis of pheochromocytoma is extremely rare, but it can be lethal because of the dramatic change in the circulation such as an acute abdominal emergency or shock. Spontaneous remission of the clinical symptoms due to necrosis of the pheochromocytoma is rare. We describe such a case that presented with cardiogenic shock due to extensive necrosis of the pheochromocytoma and this was followed by spontaneous remission of the clinical symptoms without removal of the pheochromocytoma.

Keywords: Cardiogenic shock, Pheochromocytoma, Spontaneous remission

Figures and Tables

Fig. 1
A. Abdominal computed tomography shows about 4 × 4 cm sized, relatively well-defined low density mass lesion with peripheral wall enhancement (arrow) in the left adrenal gland. B. After three months, the size of relatively well-defined low density mass lesion with peripheral wall subtle enhancement (about 1.5 × 1.5 cm) is decreased (arrow).
enm-25-236-g001
Fig. 2
131I-MIBG scan shows no demonstrable abnormal finding.
enm-25-236-g002

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