Malignant Pheochromocytoma Masquerading as Acute Pancreatitis—A Rare but Potentially Lethal Occurrence

NANCY A. DUGAL PERRIER; JON A. VAN HEERDEN; DANIEL J. WILSON; MARK A. WARNER

doi:10.1016/S0025-6196(12)62222-8

Malignant Pheochromocytoma Masquerading as Acute Pancreatitis—A Rare but Potentially Lethal Occurrence

NANCY A. DUGAL PERRIER, JON A. VAN HEERDEN, DANIEL J. WILSON, MARK A. WARNER

Research output: Contribution to journal › Review article › peer-review

18 Scopus citations

Abstract

Pheochromocytoma mimicking acute pancreatitis as its initial clinical manifestation is a known, albeit rare, phenomenon. Herein we describe a patient with this occurrence. A striking feature was pronounced hyperamylasemia, almost exclusively of the S-type. Our theory is that the pheochromocytoma caused a catecholamine-induced cardiomyopathy, which contributed to failure of the left ventricle; pulmonary edema and release of S-type amylase from hypoxic lung tissue occurred subsequently.

Original language	English (US)
Pages (from-to)	366-370
Number of pages	5
Journal	Mayo Clinic Proceedings
Volume	69
Issue number	4
DOIs	https://doi.org/10.1016/S0025-6196(12)62222-8
State	Published - 1994
Externally published	Yes

Keywords

LVEF
Pco
Po
left ventricular ejection fraction
partial pressure of carbon dioxide
partial pressure of oxygen

ASJC Scopus subject areas

General Medicine

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10.1016/S0025-6196(12)62222-8

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title = "Malignant Pheochromocytoma Masquerading as Acute Pancreatitis—A Rare but Potentially Lethal Occurrence",

abstract = "Pheochromocytoma mimicking acute pancreatitis as its initial clinical manifestation is a known, albeit rare, phenomenon. Herein we describe a patient with this occurrence. A striking feature was pronounced hyperamylasemia, almost exclusively of the S-type. Our theory is that the pheochromocytoma caused a catecholamine-induced cardiomyopathy, which contributed to failure of the left ventricle; pulmonary edema and release of S-type amylase from hypoxic lung tissue occurred subsequently.",

keywords = "LVEF, Pco, Po, left ventricular ejection fraction, partial pressure of carbon dioxide, partial pressure of oxygen",

author = "{DUGAL PERRIER}, {NANCY A.} and {VAN HEERDEN}, {JON A.} and WILSON, {DANIEL J.} and WARNER, {MARK A.}",

year = "1994",

doi = "10.1016/S0025-6196(12)62222-8",

language = "English (US)",

volume = "69",

pages = "366--370",

journal = "Mayo Clinic Proceedings",

issn = "0025-6196",

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TY - JOUR

T1 - Malignant Pheochromocytoma Masquerading as Acute Pancreatitis—A Rare but Potentially Lethal Occurrence

AU - DUGAL PERRIER, NANCY A.

AU - VAN HEERDEN, JON A.

AU - WILSON, DANIEL J.

AU - WARNER, MARK A.

PY - 1994

Y1 - 1994

N2 - Pheochromocytoma mimicking acute pancreatitis as its initial clinical manifestation is a known, albeit rare, phenomenon. Herein we describe a patient with this occurrence. A striking feature was pronounced hyperamylasemia, almost exclusively of the S-type. Our theory is that the pheochromocytoma caused a catecholamine-induced cardiomyopathy, which contributed to failure of the left ventricle; pulmonary edema and release of S-type amylase from hypoxic lung tissue occurred subsequently.

AB - Pheochromocytoma mimicking acute pancreatitis as its initial clinical manifestation is a known, albeit rare, phenomenon. Herein we describe a patient with this occurrence. A striking feature was pronounced hyperamylasemia, almost exclusively of the S-type. Our theory is that the pheochromocytoma caused a catecholamine-induced cardiomyopathy, which contributed to failure of the left ventricle; pulmonary edema and release of S-type amylase from hypoxic lung tissue occurred subsequently.

KW - LVEF

KW - Pco

KW - Po

KW - left ventricular ejection fraction

KW - partial pressure of carbon dioxide

KW - partial pressure of oxygen

UR - http://www.scopus.com/inward/record.url?scp=0028297693&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028297693&partnerID=8YFLogxK

U2 - 10.1016/S0025-6196(12)62222-8

DO - 10.1016/S0025-6196(12)62222-8

M3 - Review article

C2 - 7513373

AN - SCOPUS:0028297693

SN - 0025-6196

VL - 69

SP - 366

EP - 370

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

IS - 4

ER -

Malignant Pheochromocytoma Masquerading as Acute Pancreatitis—A Rare but Potentially Lethal Occurrence

Abstract

Keywords

ASJC Scopus subject areas

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