Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2021; 9(18): 4754-4759
Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4754
Pheochromocytoma with abdominal aortic aneurysm presenting as recurrent dyspnea, hemoptysis, and hypotension: A case report
Hai-Yang Zhao, Yong-Zhen Zhao, Yu-Mei Jia, Xue Mei, Shu-Bin Guo
Hai-Yang Zhao, Yong-Zhen Zhao, Xue Mei, Shu-Bin Guo, Emergency Medicine Clinical Research Center, Beijing Chaoyang Hospital, Capital Medical University & Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing 100020, China
Yu-Mei Jia, Department of Endocrinology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Author contributions: Zhao HY and Zhao YZ contributed equally to this work and should be considered as co-first authors; Zhao HY reviewed the data and consulted the authors; Zhao HY and Zhao YZ wrote the article and extracted the data; Jia YM, Mei X, and Guo SB revised and edited the article; all authors have read and approved the final manuscript.
Supported by the Peking Union Medical Foundation-Rui E (Rui Yi) Emergency Medical Research Special Fund, No. R2018001; and the Beijing Science and Technology Association Jinqiao Project Seed Fund, No. JQ18057.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, and there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled “Pheochromocytoma with abdominal aortic aneurysm presenting as recurrent dyspnea, hemoptysis, and hypotension”.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shu-Bin Guo, MD, Professor, Emergency Medicine Clinical Research Center, Beijing Chao-Yang Hospital, Capital Medical University & Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation, No. 8 Gongren Tiyuchang South Road, Chaoyang District, Beijing 100020, China. 443912880@qq.com
Received: December 17, 2020
Peer-review started: December 17, 2020
First decision: March 11, 2021
Revised: April 7, 2021
Accepted: May 7, 2021
Article in press: May 7, 2021
Published online: June 26, 2021
Processing time: 175 Days and 13.7 Hours
Abstract
BACKGROUND

Pheochromocytomas are rare endocrine tumors with various clinical manifestations, and few of them might present with profound, life-threatening conditions.

CASE SUMMARY

We report the case of a 65-year-old man who complained of sudden dyspnea and hemoptysis for half a day. There was no obvious cause for the patient to have dyspnea, coughing, or coughing up to approximately 100 mL of fresh blood. Finally, he was diagnosed with pheochromocytoma crisis (PCC), coexisting with an abdominal aortic aneurysm (AAA).

CONCLUSION

We report a case of pheochromocytoma presenting with recurrent hemoptysis, dyspnea and hypotension coexisting with an AAA. It not only proved the uncommon manifestations of pheochromocytoma but also directed clinicians to consider PCC among the possible diagnoses when meeting similar cases. Moreover, surgical excision is the most beneficial method for the treatment of pheochromocytoma coexisting with AAA when the situation is stable.

Keywords: Emergency; Hemoptysis; Hypotension; Pheochromocytoma crisis; Abdominal aortic aneurysm; Case report

Core Tip: We report a case of pheochromocytoma presenting with recurrent hemoptysis, dyspnea, and hypotension coexisting with an abdominal aortic aneurysm. It not only proved the uncommon manifestations of pheochromocytoma but also directed clinicians to consider pheochromocytoma crisis among the possible diagnoses when meeting similar cases.