Unilateral adrenal feocromocitoma: clinical case report and literature revision

Abstract

Objective: To present the clinical case of a not very frequent
pathology, its handling and its surgical resolution, managed at
the Servicio de Cirugía General IAHULA Merida. Venezuela.
Patients and methods: Revision of the literature and description
of the clinical case.
Conclusion: The feocromocitoma , an unusual illness is cause
of secondary arterial hypertension. It is more frequently found
as a unilateral adrenal tumor and in those older than 60 years.
The most common clinical manifestations are paroxistic migraine
, throbs, diaforesis and arterial paroxistic or persistent hypertension.
The diagnosis leans on in the clinic and in the biochemical
determination, being the election method the quantification of
plasmatic metanefrines. Outlining the diagnosis is fundamental
to know the localization of the tumor, what should be carried out
by means of computed axial tomography or magnetic nuclear
resonance. The treatment consists on the employment of antihypertensive
drugs and the surgical resection of the tumor. The
election drugs are the antagonists of the receiving alpha 2 adrenergics
and/or blocking of channels of calcium The resection can
be carried out by classic laparotomy as we did in our case.