- 期刊
- OpenAccess
Extraadrenal Pheochromocytoma Associated with Renal Artery Stenosis
腎上腺外嗜鉻細胞瘤合併腎動脈狹窄
摘要
嗜鉻細胞瘤及腎動脈狹窄皆為造成再發性高血壓之主要原因。本文報告－三十六歲女性有頭痛、心悸、視力減退及持續性血壓升高（190～230/110～130毫米汞柱）達二個月。患者經靜脈泌尿道攝影（Intravenous urogram），鎝同位素腎臟攝影（Tc - DTPA renogram）及腎動脈血管攝影（Renal arteriogram）皆發現右側腎動脈中段約95%狹窄。腎靜脈腎素（Renin）活性於狹窄側與非狹窄側之比為2.39：1。血漿兒茶酚胺值（Plasma catecholamines level），腹部超音波（Abdominal echogram），腹部電腦斷層（C T Scan of abdomen）及減相腹部主動脈攝影（Subtraction abdominal aortogram）皆顯示有腎上腺外嗜鉻細胞瘤。該患者經右側腎臟及腫瘤切除後血壓恢復正常。
並列摘要
Pheochromocytoma and renal artery stenosis both are important causes of surgically curable secondary hypertension. The combination of these two diseases is extremely rare. We added a new case with these associations. A 36 year-old woman who suffered from headache, palpitation and blurred of vision with persisted high blood pressure (190-230/110130 mmHg) for two months. Intravenous urogram, Technetium diethylenetriaminepentaacetic acid (Tc-DTPA) renogram and bilateral renal arteriogram revealed mid-portion of right renal artery about 95% stenosis. She also received renal vein renin sampling and the ratio of lesion to normal side was 2.39:1. Extra-adrenal pheochromocytoma was suspected by the elevation of plasma catecholamines level, abdominal echogram, CT scan of abdomen and subtraction abdominal aorrogram, After surgical removal of right kidney and tumor mass, her blood pressure returned to normal range and lived well without any medication.
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