An unusual case of hematemesis and epistaxis caused by a pheochromocytoma

J Int Med Res. 2018 Jun;46(6):2470-2473. doi: 10.1177/0300060518765015. Epub 2018 Mar 26.

Abstract

Pheochromocytoma is a rare catecholamine-secreting neoplasm that is the cause of hypertension in <0.2% of patients with hypertension. We encountered an unusual case of pheochromocytoma involving hematemesis and epistaxis episodes with accompanying hypertensive attacks. Venous ectasia was detected in the esophagus. Abdominal magnetic resonance imaging revealed an adenoma in the left adrenal region. The present case illustrates that pheochromocytoma can mimic different clinical conditions.

Keywords: Pheochromocytoma; epistaxis episodes; hematemesis; hypertension; magnetic resonance imaging; venous ectasia.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / complications*
  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adrenal Gland Neoplasms / therapy
  • Adult
  • Epistaxis / etiology*
  • Hematemesis / etiology*
  • Humans
  • Hypertension / etiology*
  • Male
  • Pheochromocytoma / complications*
  • Pheochromocytoma / diagnostic imaging
  • Pheochromocytoma / therapy