1. Paraganglioma-induced pheochromocytoma crisis successfully treated by veno-arterial extracorporeal membrane oxygenation: a case report.
- Author
-
Tong M, Wang S, Bai Y, and Wang H
- Subjects
- Humans, Female, Adult, Tomography, X-Ray Computed, Treatment Outcome, Extracorporeal Membrane Oxygenation, Pheochromocytoma complications, Pheochromocytoma surgery, Pheochromocytoma pathology, Adrenal Gland Neoplasms complications, Adrenal Gland Neoplasms surgery, Adrenal Gland Neoplasms diagnosis, Paraganglioma complications, Paraganglioma surgery, Paraganglioma therapy
- Abstract
Pheochromocytoma crisis is rare but potentially fatal if not recognized early and properly managed. Here, a woman in her 20s with a paraganglioma-induced pheochromocytoma crisis, who was successfully treated by veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and interval tumor resection, is described. In July 2022, the patient was brought to hospital with a complaint of sudden-onset of palpitations with vomiting. The patient developed cardiorespiratory failure with hypoxia. Computed tomography scan showed pulmonary oedema and a mass anterior to the inferior vena cava. She was transferred to the intensive care unit and treated with VA-ECMO. The patient's ECMO was withdrawn after 6 days without any complications. After hemodynamic stabilization, the patient underwent tumor resection 4 months later. The postoperative course was uneventful and she was discharged on postoperative day 7. Histopathological analysis confirmed a paraganglioma. VA-ECMO may play a significant role in saving lives and providing time for accurate diagnosis and specific treatment of a patient with pheochromocytoma crisis. Appropriate individual management can help avoid the occurrence of ECMO complications., Competing Interests: Declaration of conflicting interestThe authors declare that there is no conflict of interest.
- Published
- 2024
- Full Text
- View/download PDF