+ Site Statistics
References:
52,654,530
Abstracts:
29,560,856
PMIDs:
28,072,755
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn

+ Translate
+ Recently Requested

Recurrent paroxysmal neck swellings as the primary manifestation of a pheochromocytoma



Recurrent paroxysmal neck swellings as the primary manifestation of a pheochromocytoma



Deutsche Medizinische Wochenschrift 118(27-28): 1011-1014



A 45-year-old female had been suffering for about 6 months almost daily from paroxysmal neck swellings with occasional difficulties in swallowing and from non-specific abdominal complaints. Hormone analyses, performed because of the marked blood pressure increase up to 210/120 mm Hg during such an attack, revealed an increase in vanillyl mandelic acid and epinephrine concentrations in the 24-hour urine. CT demonstrated a tumour of 4 x 5 x 5 cm size in the region of the right adrenal. The paroxysmal neck swellings and blood pressure increase could be reproduced by means of pressure applied over the tumour range with the ultrasound transducer. The tumour was extirpated and histology revealed a phaeochromocytoma. For more than one year now the patient has been free from complaints. To date, recurrent neck swellings have not been reported in association with a phaeochromocytoma. Possible causes may be an enhanced congestion of the deep neck vessels during paroxysmal blood pressure increase or an enhanced response by the adrenoreceptors of these vessels to the released catecholamines.

Accession: 047196983

Download citation: RISBibTeXText

PMID: 8334947

DOI: 10.1055/s-2008-1059419



Related references

Recurrent paroxysmal neck swellings as primary manifestation of a phaeochromocytoma. Deutsche Medizinische Wochenschrift 118(27-28): 1011-1014, 1993

Neck abscess as primary manifestation of head and neck carcinoma: implications for diagnostic management. Laryngo- Rhino- Otologie 79(10): 604-608, 2000

Swellings of the neck; lateral swellings of neck. Mcgregor Clinic Bulletin 10(1): 13-24, 1949

Symptomatic paroxysmal kinesigenic choreoathetosis as primary manifestation of multiple sclerosis. Journal of Neurology 259(3): 557-558, 2012

Paroxysmal hypertension with concomitant swelling of the thyroid due to pheochromocytoma of the right adrenal gland; cure by surgical removal of the pheochromocytoma. Journal of Clinical Endocrinology and Metabolism 7(1): 30-46, 1947

Rational diagnosis in primary and recurrent pheochromocytoma. Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress 114: 422-424, 1997

Recurrent Diabetic Muscle Infarction Presenting with Painful Thigh Swellings Simulating Recurrent Deep Venous Thrombosis. West Indian Medical Journal (): -, 2016

Recurrent longitudinal myelitis as primary manifestation of SLE. Neurology 63(10): 1976-1976, 2004

Sclerosing Mucoepidermoid carcinoma with eosinophilia of the thyroid glands: a case report with clinical manifestation of recurrent neck mass. Journal of Korean Medical Science 14(3): 338-341, 1999

Recurrent anencephaly as a primary manifestation of the acrocallosal syndrome. American Journal of Medical Genetics 62(4): 415-416, 1996

Recurrent pleural effusion as a manifestation of primary amyloidosis. Archivos de Bronconeumologia 35(9): 464-464, 1999

2[F]-fluoro-2-deoxy-D-glucose positron emission tomography is a sensitive tool for the detection of occult primary cancer (carcinoma of unknown primary syndrome) with head and neck lymph node manifestation. Otolaryngology--Head and Neck Surgery 123(3): 294-301, 2000

Recurrent parotitis as a first manifestation in a child with primary Sjogren's syndrome. West Indian Medical Journal 60(6): 685-687, 2012

Recurrent parotitis as a first manifestation of adult primary Sjögren's syndrome. Internal Medicine 45(13): 831-832, 2006

Recurrent parotitis as a first manifestation of adult primary Sjogren's syndrome. 2007