Résumé
Pheochromocytomas are rare catecholamine-secreting neuroendocrine tumors arising from chromaffin cells in the adrenal medulla. Typical classic triad are consisted of headaches, palpitations, and profuse diaphoresis. But some patients with pheochromocytomas have other cardiovascular manifestations such as left ventricular hypertrophy, congestive heart failure, and cardiac arrhythmia. Rarely, pheochromocytomas manifest as acute myocardial infarction leading to delayed diagnosis and treatment. We experienced one case of pheochromocytoma initially manifesting as acute myocardial infarction which showed normal coronary artery on coronary angiography. Pheochromocytoma should be suspected and evaluated in patients with acute myocardial infarction whose coronary angiography shows normal coronary without definite thrombosis.
Sujets)
Humains , Médulla surrénale , Troubles du rythme cardiaque , Cellules chromaffines , Coronarographie , Vaisseaux coronaires , Retard de diagnostic , Céphalée , Défaillance cardiaque , Hypertrophie ventriculaire gauche , Infarctus du myocarde , Tumeurs neuroendocrines , Phéochromocytome , ThromboseRésumé
Massive thoracoabdominal aortic thrombosis is a rare finding in patients with iatrogenic Cushing syndrome in the absence of any coagulation abnormality. It frequently represents an urgent surgical situation. We report the case of an 82-year-old woman with massive aortic thrombosis secondary to iatrogenic Cushing syndrome. A follow-up computed tomography scan showed a decreased amount of thrombus in the aorta after anticoagulation therapy alone.
Sujets)
Sujet âgé de 80 ans ou plus , Femelle , Humains , Anticoagulants/usage thérapeutique , Aorte abdominale/imagerie diagnostique , Syndrome de Cushing/complications , Électrocardiographie , Maladie iatrogène , Thrombose/diagnostic , Tomodensitométrie , Résultat thérapeutiqueRésumé
Lemierre's syndrome is very rare and is characterized by previous oropharyngeal infections, such as pharyngitis or peritonsillar abscess, leading to high fever, internal jugular venous thrombosis, and metastatic infections to multiple internal organs. Prompt and accurate diagnosis followed by early treatment with antibiotics is very important because its mortality is high if treatment is delayed. We report on the case of a 23-year-old female who was transferred to our hospital with a left peritonsillar abscess combined with left jugular venous thrombosis, complaining of a sore throat and left submandibular swelling, and diagnosed as Lemierre's syndrome. Finally, she was treated successfully without anticoagulants.