Importance of Ultrasound Imaging in Pheochromocytoma in a Child: Case Report and Review of Literature

Nida Dincel, Ipek Kaplan Bulut, Kadriye Ozdemir, Mustafa Orhan Bulut, Betul Sozeri, Z. Hasan Gun, Sevgi Mir, Hudaver Alper

Abstract


Pheochromocytomas are rare tumors, originating from adrenal medulla (80-90%), diagnosed at 0.1% of cases with hypertension. Not very rare (40%), diagnosis can be insidious during ultrasound imaging (US) for a non-specific complaint. We are presenting a 13 years old boy who had suffered from non-specific headache without hypertension and any of autonomic disorders, diagnosed by increased urine catecholamine after a mass seen in US. A 13 years old boy has admitted to emergency with blood pressure measurement of 160/110 mmHg. He had severe headache for 18 months without hypertension. In physical exam, hypertension, tachycardia, tremor, and Marfanoid morphology were found. Ultrasound revealed an incidental mass of 33 ? 68 mm, with increased vascularization, on pre- and para-aortic sides. Urinary catecholamine and metabolites were grossly elevated. Iodine-131-metaiodobenzylguanidine scintigraphy also showed the heterogeneous mass located in the right para-aortic region, neighboring the liver. Pheochromocytoma is a rare catecholamine-producing tumor, and has life-threatening consequences. Clinical manifestations can be non-specific. It can be easily diagnosed if it is suspected or screened by US. Here we want to emphasize that such an easy and cheap method (screening by US) can lead us to know earlier this high complicated and incidental disease.




Int J Clin Pediatr. 2013;2(2):78-82
doi: http://dx.doi.org/10.4021/ijcp122e

Keywords


Pheochromocytoma; Childhood; Hypertension; Ultrasound

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

International Journal of Clinical Pediatrics, quarterly, ISSN 1927-1255 (print), 1927-1263 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International
CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (
COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.theijcp.org   editorial contact: editor@theijcp.org    elmer.editorial2@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.



Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.