Skip to main content
Log in

Metachronous Occurrence of Multifocal Phaeochromocytoma

  • Clinical Brief
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

The authors report an 8-yr-old boy who presented with hypertension, psychosis, and visual disturbances due to a left adrenal phaeochromocytoma which was excised. After 4 years, the child developed multifocal phaeochromocytomas in the left suprarenal area, right adrenal gland, and left para-aortic region. The tumors were excised along with re-implantation of normal adrenal tissue from the right adrenal into the omentum. The course of the disease and the family history were suggestive of von Hippel-Lindau (VHL) disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Bissada NK, Safwat AS, Seyam RM, et al. Phaeochromocytoma in children and adults: a clinical spectrum. J Pediatr Surg. 2008;43:540–3.

    Article  PubMed  Google Scholar 

  2. Pacak K, Eisenhofer G, Ahlman H, et al. Phaeochromocytoma: recommendations for clinical practice from the First International Symposium. October 2005. Nat Clin Pract Endocrinol Metab. 2005;3:92–102.

    Article  Google Scholar 

  3. Havekes B, Romijn JA, Eisenhofer G, Adams K, Pacak K. Update on pediatric phaeochromocytoma. Pediatr Nephrol. 2009;24:943–50.

    Article  PubMed  Google Scholar 

  4. Armstrong R, Sridhar M, Greenhalgh KL, et al. Phaeochromocytoma in children. Arch Dis Child. 2008;93:899–904.

    Article  PubMed  CAS  Google Scholar 

  5. Ein SH, Pullerits J, Creighton R, Balfe JW. Pediatric phaeochromocytoma: a 36 year review. Pediatr Surg Int. 1997;2:595–8.

    Google Scholar 

  6. Ross JH. Phaeochromocytoma. Special considerations in children. Urol Clin North Am. 2000;27:393–402.

    Article  PubMed  CAS  Google Scholar 

  7. Ludwig AD, Feig DI, Brandt ML, Hicks MJ, Fitch ME, Cass DL. Recent advances in the diagnosis and treatment of phaeochromocytoma in children. Am J Surg. 2007;194:792–7.

    Article  PubMed  CAS  Google Scholar 

  8. de Krijger RR, Petri BJ, van Nederveen FH, et al. Frequent genetic changes in childhood phaeochromocytomas. Ann NY Acad Sci. 2006;1073:166–76.

    Article  PubMed  Google Scholar 

  9. Neumann HP, Pawlu C, Peczkowska M, et al. Distinct clinical features of paraganglionoma syndromes associated with SDHB and SDHD gene mutations. JAMA. 2004;292:943–51.

    Article  PubMed  CAS  Google Scholar 

  10. Miyauchi A, Kihara M, Matsusaka K, Nishitana A, Nishiyama Y. Successful autotransplantation of an adrenal gland using a new method of omental wrapping: report of a case. Surg Today. 1999;29:960–2.

    Article  PubMed  CAS  Google Scholar 

Download references

Contributions

VJ and RC were the assistant (VJ), and operating surgeons (RC), involved in the surgical management of the case. In addition, VJ and RC were responsible for collection of data, review of the literature, planning the management of the case, and preparation of the manuscript. AB and VA were directly involved in the medical management of the case in the pediatric intensive care unit and medical ward respectively. KM was involved in the anesthetic management during surgery and in the immediate postoperative period. AP and SRC provided valuable inputs in the management of the case and the preparation and editing of the manuscript.

Conflict of Interest

None.

Role of Funding Source

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vishesh Jain.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jain, V., Bishnoi, A., Meena, K. et al. Metachronous Occurrence of Multifocal Phaeochromocytoma. Indian J Pediatr 78, 620–622 (2011). https://doi.org/10.1007/s12098-010-0292-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-010-0292-x

Keywords

Navigation