A mixed endocrine adrenal tumour causing steatorrhoea.

Abstract:

:A 60 year old man developed steatorrhoea, weight loss, mild diabetes mellitus, labile hypertension and limb cramps. Raised plasma concentrations of catecholamines, particularly noradrenaline and a computed tomography-scan showing an adrenal tumour strongly suggested a pheochromocytoma. Adrenoreceptor blockade reversed the symptoms, decreased faecal fat, and increased duodenal trypsin to normal concentrations. After adrenalectomy the patient was asymptomatic and there was no steatorrhoea. The blood glucose concentrations became normal. Immunocytochemistry revealed the tumour cells to store large amounts of enkephalin and somatostatin reactive material and moderate amounts of immunoreactive beta-endorphin and dynorphin.

journal_name

Gut

journal_title

Gut

authors

Thesleff P,Benoni C,Mårtensson H,Nilsson A,Sundler F,Akesson B

doi

10.1136/gut.28.10.1298

subject

Has Abstract

pub_date

1987-10-01 00:00:00

pages

1298-301

issue

10

eissn

0017-5749

issn

1468-3288

journal_volume

28

pub_type

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