Evidence map›Paper›PMID 37323563›Full record

ArticleAcute medicine & surgery

A life-threatening case of pheochromocytoma crisis with hemodynamic instability.

Hiroaki Taniguchi, Nobuaki Kiriu, Hiroshi Kato, Tetsuro Kiyozumi

Abstract readCase Reports
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hiroaki TaniguchiDepartment of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0003-2584-2282
Nobuaki KiriuDepartment of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0001-9568-6911
Hiroshi KatoDepartment of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan.ORCID https://orcid.org/0009-0009-9075-7069
Tetsuro KiyozumiDepartment of Traumatology and Critical Care Medicine National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0002-4098-1961

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pheochromocytoma crisis (PCC) is a fatal disease characterized by hyper and/or hypotension, hyperthermia, and encephalopathy, and its diagnosis and treatment are challenging. Case presentation: A 50-year-old woman presented with hypertension, and computed tomography showed an adrenal tumor. Fever, shock, and impaired consciousness were observed, and PCC was diagnosed clinically. Systolic blood pressure fluctuated from 40-220 mmHg within a few minutes, and circulatory agonists were adjusted accordingly. The blood pressure changes gradually stabilized with α-blockade. Surgery was performed on hospital day 26, and the pathological diagnosis was consistent with a pheochromocytoma. She was discharged on hospital day 37. Conclusion: Computed tomography may facilitate early diagnosis in the acute phase of PCC in case of limited patient medical information and insufficient time to wait for a definitive diagnosis using traditional hormone tests. The shock requires pharmacological therapy to maintain circulation, and paradoxically, the administration of α-blockade can be lifesaving.

Indexed as

adrenal gland neoplasmsconsciousnesshypertensionpheochromocytomashock

Identifiers

PMID37323563
PMCPMC10264911

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.