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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
VILLAFANA CASTILLO, Osmery S.. Fheochromocytoma: Case report. AMC [online]. 2005, vol.9, n.3, pp. 117-123. ISSN 1025-0255.
A 44 years-old, masculine, black patient with antecedents of duodenal ulcer is reported. He was treated with Cymetidine and Shostakoskys balm and cured of such illness. He presented to the external service of our institution for presenting weaksness and epigastralgia that irradiatiated to the back. Hematologic, imaging and ultrasonographic studies were carried out, which showed a polycistid spleen; in the physical examination no results were evidenced. After some study days, he was interconsulted with hematology and we decided to perform splenectomy for videolaparoscopic minimal invasive surgery, the procedure was applied and it was observed in the exploration a spleen with normal size and characteristics, but inmediately under the spleen, a rounded, great and renitent consistency tumor was detected, which emerged from retroperitoneum. It was decided to convert to conventional surgery and perform splenectomy and enucleation of the tumor, both structures were sent to pathologic anatomy for their histologic study; the statement reported a normal histologic spleen and the tumor was a suprarenal pheochromocytoma, without evident repercussion on the cardiovascular system.
Keywords : PHEOCROMOCITOMA [diagnosis]; NEOPLASMS [surgery]; SPLENECTOMY; ADULT.