Unusual presentation of pheochromocytoma with ischemic sigmoid colitis and stenosis.

Abstract:

:A 45-year-old woman with poorly controlled hypertension and diabetes mellitus presented with left iliac fossa pain, constipation alternating with diarrhea, and weight loss. She had been diagnosed with idiopathic cardiomyopathy five years previously. Echocardiogram had shown a left ventricular ejection fraction (LVEF) of 35%; coronary angiogram was normal. Colonoscopy revealed sigmoid colitis with stenosis. Abdominal computed tomography revealed a 5 cm right adrenal tumor. Twenty-four hour urinary free catecholamines and fractionated metanephrine excretion values were elevated, confirming pheochromocytoma. Her colitis resolved after one month of adrenergic blockade. Repeat echocardiogram showed improvement of LVEF to 65%. After laparoscopic right adrenalectomy, the patient's hypertension resolved, and diabetic control improved. Timely management avoided further morbidity and potential mortality in our patient.

journal_name

South Med J

journal_title

Southern medical journal

authors

Tan F,Thai AC,Cheah WK,Mukherjee JJ

doi

10.1097/SMJ.0b013e3181b571e6

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1068-70

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

102

pub_type

杂志文章
  • Use of Cardiac Troponin Testing in the Outpatient Setting.

    abstract:OBJECTIVES:Cardiac troponin (cTn) measurement is useful for diagnosing myocardial infarction (MI), particularly in the inpatient setting. A growing body of literature suggests that cTn may be useful for evaluating chronic conditions in the outpatient environment; however, little is known regarding cTn ordering patterns...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000971

    authors: Ross SJ,Shah NH,Noutong Njapo SA,Cordiner DJ,Winchester DE

    更新日期:2019-05-01 00:00:00

  • Videoscopically assisted fascia lata harvest for the correction of recurrent ventral hernia.

    abstract::Autologous fascia lata tissue transfer is a feasible alternative to reconstruction of the abdominal wall in selected patients. We describe a new technique using minimally invasive technology that allows harvest of the fascia lata graft without the traditional large thigh incision. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199704000-00007

    authors: Tucker JG,Choat D,Zubowicz VN

    更新日期:1997-04-01 00:00:00

  • Vaccinia necrosum after smallpox vaccination for herpes labialis.

    abstract::We have described a patient with vaccinia necrosum after smallpox vaccination for persistent herpes labialis. The patient eventually recovered after surgical resection of the lesion and multiple courses of vaccinia immune globulin and methisazone. This report emphasizes the needless risks of vaccinating patients with ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198103000-00044

    authors: Funk EA,Strausbaugh LJ

    更新日期:1981-03-01 00:00:00

  • Emergency liver resection for combined biliary and vascular injury following laparoscopic cholecystectomy: case report and review of the literature.

    abstract::A 75-year-old woman suffering from symptomatic cholelithiasis was admitted to our hospital for elective laparoscopic cholecystectomy (LC). Intraoperatively, because of severe inflammation and dense adhesions in the region of the Calot triangle and bleeding arising from the porta hepatis which obscured the operating fi...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000242793.15923.1a

    authors: Felekouras E,Megas T,Michail OP,Papaconstantinou I,Nikiteas N,Dimitroulis D,Griniatsos J,Tsechpenakis A,Kouraklis G

    更新日期:2007-03-01 00:00:00

  • Acute progressive bilateral carpal tunnel syndrome after upper respiratory tract infection.

    abstract::This report describes the case of a 32-year-old male presenting with acute progressive bilateral carpal tunnel syndrome after a benign upper respiratory tract infection. Serial nerve conduction studies confirmed progressive entrapment of the median nerves in the carpal tunnel to the point of axonal damage. Surgical de...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.smj.0000182502.23548.41

    authors: El Hajj II,Harb MI,Sawaya RA

    更新日期:2005-11-01 00:00:00

  • Exercise intolerance and multiple conduction abnormalities as first manifestation of cardiac sarcoidosis.

    abstract::Sarcoidosis is a multisystem disorder of unknown cause, characterized pathologically by noncaseating granulomas. It is more commonly seen in younger adults and African Americans. Myocardial involvement occurs in at least 25% of patients with sarcoidosis and is associated with poor prognosis. In spite of recent advance...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e318189570e

    authors: Ruiz-Arango A,Sharma GK

    更新日期:2008-10-01 00:00:00

  • Four cases of disseminated Mycobacterium bovis infection following intravesical BCG instillation for treatment of bladder carcinoma.

    abstract::Intravesical BCG (bacillus Calmette-Guérin) instillation is a first-line treatment for superficial transitional cell carcinoma of the bladder. A rare but severe complication of BCG immunotherapy is the development of disseminated BCG disease, which can result in miliary pneumonitis, granulomatous hepatitis, soft tissu...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31815d4047

    authors: Nadasy KA,Patel RS,Emmett M,Murillo RA,Tribble MA,Black RD,Sutker WL

    更新日期:2008-01-01 00:00:00

  • Infection versus disease activity in rheumatoid arthritis: eight years' experience.

    abstract::Septic arthritis is a serious and sometimes fatal complication of rheumatoid arthritis. We have examined the clinical characteristics of 16 patients with infectious arthritis seen during an eight-year period. This represented 0.5% of all admissions to our hospital for patients with rheumatoid arthritis. Although rheum...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198610000-00011

    authors: Blackburn WD Jr,Dunn TL,Alarcón GS

    更新日期:1986-10-01 00:00:00

  • Formal pathology rotation during obstetrics and gynecology residency: is it beneficial?

    abstract:BACKGROUND:Our objective was to assess the educational benefits of a formal pathology rotation during an obstetrics and gynecology residency program and to determine the utility of this information in clinical practice. METHODS:In this descriptive study, the benefits of a 2-month rotation in pathology for obstetrics a...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199803000-00003

    authors: McGehee RP,Meeks GR,Davey-Sullivan BJ,Cowan BD,Morrison JC

    更新日期:1998-03-01 00:00:00

  • Prolonged intermittent diarrhea after Shiga dysentery: postdysenteric syndrome.

    abstract::A 42-year-old woman had dysentery caused by the Shiga bacillus, Shigella dysenteriae type 1, while taking diphenoxylate with atropine during and after her return from a trip to Mexico. Although she was treated with appropriate antibiotics, she suffered a prolonged and toxic acute course followed by intermittent bouts ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198003000-00034

    authors: Rice PA,Baine WB

    更新日期:1980-03-01 00:00:00

  • Survey of physician acceptance of the pneumococcal vaccine.

    abstract::A group of 251 randomly selected physicians completed a survey designed to study their attitudes toward, knowledge about, and use of pneumococcal vaccine. Eighty-five percent of respondents believed the vaccine had been proven effective. For the use of the vaccine, respondents supported broad indications, including ch...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198404000-00010

    authors: Berk SL,Verghese A,Berk ML,Dison C,Smith JK

    更新日期:1984-04-01 00:00:00

  • Helium-oxygen and conventional mechanical ventilation in the treatment of large airway obstruction and respiratory failure in an infant.

    abstract::The application of 70% helium-30% oxygen mixtures by tight-fitting face mask in the emergency management of large airway obstruction is well known. We present the case of an infant with severe large airway obstruction and respiratory failure that was unresponsive to the more traditional approaches of airway management...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Sauder RA,Rafferty JF,Bilenki AL,Berkowitz ID

    更新日期:1991-05-01 00:00:00

  • Adrenal incidentalomas: adrenal hemangioma in a patient with congenital adrenal hyperplasia.

    abstract::We describe a case of an adrenal incidentalomas in the setting of congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. The adrenal mass was shown to be a cavernous hemangioma. Such neoplasms are rare but have the risk of retroperitoneal hemorrhage and may be difficult to differentiate from malignant ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Pignatelli D,Vendeira P,Cabral AC

    更新日期:1998-08-01 00:00:00

  • M-mode echocardiographic abnormalities in Rocky Mountain spotted fever.

    abstract::Rocky Mountain spotted fever is a serious acute systemic illness frequently complicated by cardiac involvement. To evaluate the spectrum of myocardial dysfunction, we obtained M-mode echocardiograms on nine consecutive patients with Rocky Mountain spotted fever within 72 hours of admission. Seven of the nine patients ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198409000-00019

    authors: Feltes TF,Wilcox WD,Feldman WE,Lipskis DJ,Carter SL,Bugg GW

    更新日期:1984-09-01 00:00:00

  • Chronic acalculous gallbladder disease: a clinical variant.

    abstract::A review of 228 cholecystectomies done over a two-year period revealed 15 cases (6.6%) in which gallstones were absent. These 15 patients were all characterized by colicky abdominal pain in the right upper quadrant, with a mean duration of eight months. Ultrasonographic examination was falsely positive for gallstones ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198811000-00005

    authors: Frykberg ER,Duong TC,LaRosa JJ,Etienne HB

    更新日期:1988-11-01 00:00:00

  • Intracerebral tuberculoma misdiagnosed as neurosarcoidosis.

    abstract::We describe two patients who had tuberculomas that were initially misdiagnosed as neurosarcoidosis, leading to prolonged steroid therapy before initiation of antituberculous medications. Neither patient was infected with the human immunodeficiency virus, and one of the patients had a negative tuberculosis skin test. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/01.SMJ.0000048150.02504.99

    authors: Cortez K,Kottilil S,Mermel LA

    更新日期:2003-05-01 00:00:00

  • Meropenem versus imipenem/cilastatin in the treatment of hospitalized patients with skin and soft tissue infections.

    abstract::Meropenem is a new carbapenem antibiotic shown to resist degradation by renal dehydropeptidase I. In a multicenter, open-label, prospective trial, we compared the efficacy and safety of meropenem with imipenem/cilastatin in patients with skin and soft tissue infections. Patients received either 500 mg of meropenem eve...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00007611-199504000-00003

    authors: Nichols RL,Smith JW,Geckler RW,Wilson SE

    更新日期:1995-04-01 00:00:00

  • Weight loss and complications after four gastric operations for morbid obesity.

    abstract::Since April 1975, 292 patients have had gastric operations for morbid obesity: gastric bypass with Roux-en-Y gastrojejunostomy (RY), 105 patients; gastric bypass with loop gastrojejunostomy (loop), 69 patients; greater curvature gastroplasty, 40 patients; and gastric partition with gastrogastrostomy, 78 patients. Foll...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198211000-00005

    authors: Herbst CA Jr,Buckwalter JA

    更新日期:1982-11-01 00:00:00

  • Heterozygous alpha 1-antitrypsin deficiency (PiSZ) in an adolescent with asthma.

    abstract::Although alpha 1-antitrypsin deficiency has been associated with obstructive lung disease in individuals possessing a homozygous phenotype (PiZZ), this association has not been as clearly documented in heterozygous individuals (PiMZ, PiMS, and PiSZ phenotypes). Information regarding the heterozygous adolescent populat...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199610000-00018

    authors: Nuckton TJ,Beckerman RC

    更新日期:1996-10-01 00:00:00

  • Medication and low serum thyroxine values in nursing home residents.

    abstract:BACKGROUND:The nursing home clinician may encounter euthyroid residents with low total serum thyroxine (T4) values associated with certain medications or nonthyroidal illness (NTI). Hypothyroidism may be incorrectly diagnosed and thyroid hormone prescribed. METHODS:We reviewed all T4 determinations and individuals wit...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199805000-00005

    authors: Amberson J,Drinka PJ

    更新日期:1998-05-01 00:00:00

  • Advice on stroke provided by pharmacies in the United States: implications for treatment and care.

    abstract:OBJECTIVES:Studies have found that some health lines and physician's offices have provided treatment advice other than "call 9-1-1 for an ambulance" to patients who present with a stroke scenario. We assessed the treatment advice given by selected pharmacies in the United States regarding stroke. METHODS:The investiga...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000262

    authors: Monseau AJ,Whiteman C,Crocco TJ,Davis SM,Barkley J

    更新日期:2015-04-01 00:00:00

  • Needle-catheter jejunostomy for postoperative nutritional support.

    abstract::Use of the needle-catheter feeding jejunostomy at Richland Memorial Hospital and the Dorn Veterans Administration Hospital, both clinical teaching institutions of the University of South Carolina School of Medicine, has been evaluated in 114 patients ranging from 20 to 90 years old. The results of this survey span a 3...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198611000-00018

    authors: Strickland GF,Greene FL

    更新日期:1986-11-01 00:00:00

  • Thoracic splenosis.

    abstract::Thoracic splenosis is rare, with fewer than two dozen reported cases. Patients uniformly have a history of splenectomy with combined abdominal and thoracic trauma. Clinical signs and symptoms are usually absent, and the condition is most often discovered on routine chest radiography. The interval between trauma and cl...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199811000-00013

    authors: Buchino JJ,Buchino JJ

    更新日期:1998-11-01 00:00:00

  • Critical appraisal process: step-by-step.

    abstract::We present information describing how to search to identify those reports that provide insight into the answer to the query. We have presented a reasonable approach to searching, with our end-point being the identification of published articles which appear to answer our queries. The decision as to whether these artic...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e31824a711f

    authors: Timm DF,Banks DE,McLarty J

    更新日期:2012-03-01 00:00:00

  • Class 4 choledochal cyst.

    abstract::We have described a class 4 choledochal cyst in a 24-year-old black woman treated with choledochocystoduodenostomy. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198605000-00034

    authors: Clark SJ,Shamblin JL Jr

    更新日期:1986-05-01 00:00:00

  • Herpes simplex type 2 causing fulminant hepatic failure.

    abstract::Although exceedingly rare, fulminant hepatic failure (FHF) in immunocompetent patients can develop with primary or recurrent infection due to herpes simplex virus (HSV). The diagnosis is frequently obscured by the absence of mucocutaneous involvement. Elevated transaminase values with leukopenia and a relatively low b...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Fahy RJ,Crouser E,Pacht ER

    更新日期:2000-12-01 00:00:00

  • Complicated persistent patent ductus arteriosus with acute pneumonia in an adult.

    abstract::Patent ductus arteriosus (PDA) is a malady usually identified during childhood. Prompt surgical correction provides definitive therapy with long-term survival. When not corrected, PDA leads to significant morbidity and mortality, making it a rare condition in the adult population. We report the case of a 44-year-old m...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Chang EE,Diethelm L,Lasky JA,Rubio ER

    更新日期:2001-03-01 00:00:00

  • Attempted self-administration of electroconvulsive therapy.

    abstract::Rarely, a misguided or delusional patient will attempt to self-administer a relatively more invasive form of medical or surgical treatment. I believe this report to be the first described case of an attempt to self-administer ECT. A patient with schizoaffective disorder reported benefits from regularly applied electri...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198908000-00036

    authors: Bishop LC

    更新日期:1989-08-01 00:00:00

  • Hematuria unrelated to hemophilia in a hemophiliac.

    abstract::Whereas painless gross hematuria in the hemophiliac is usually secondary to the basic coagulation defect, it is not always so. An elderly man presented with this clinical situation which, after a protracted course, was ultimately proven to be associated with an infarcted kidney. In retrospect, the patient's age and th...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198207000-00029

    authors: Carroll RR,Kitchens CS

    更新日期:1982-07-01 00:00:00

  • Benign and malignant neoplasms in a family with Peutz-Jeghers syndrome: study of three generations.

    abstract::Three members of a family with Peutz-Jeghers syndrome had intussusception due to intestinal hamartomas. In addition, the grandfather had carcinoma of the jejunum, and the granddaughter had benign ovarian sex cord/stromal tumor causing sexual precocity. Benign and malignant tumors, not often associated with Peutz-Jeghe...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199110000-00011

    authors: Laughlin EH

    更新日期:1991-10-01 00:00:00