Cefaleia trovoada-símile desencadeada pela micção e angina como manifestação inicial de feocromocitoma de bexiga

um relato de caso

Autores

  • You Jin Han Kosin University College of Medicine
  • So Young Ock Kosin University College of Medicine
  • Eun Jung Kim Kosin University College of Medicine
  • Ho Sik Shin Kosin University College of Medicine
  • Yeon Soon Jung Kosin University College of Medicine
  • Hark Rim Kosin University College of Medicine

Palavras-chave:

Feocromocitoma, Transtornos da cefaleia primários, Micção, Angina pectoris, Catecolaminas

Resumo

CONTEXTO: Feocromocitoma é um tumor produtor de catecolaminas, caracterizado por hipertensão, cefaleia, taquicardia, sudorese excessiva e angina. A dor de cabeça trovão é assim chamada porque a dor ataca de repente e intensamente. Embora os sintomas de feocromocitoma de bexiga sejam bastante evidentes, o diagnóstico deste tumor neuroendócrino raro pode ser perdido. RELATO DE CASO: Este estudo relata o caso de uma mulher diagnosticada com feocromocitoma na be-xiga que sentiu a dor de cabeça trovão, desencadeada pela micção e angina como manifestação inicial. CONCLUSÃO: Este estudo de caso sugere que a dor de cabeça trovão e angina ocorrendo simultanea-mente com a elevação da pressão de sangue repentina durante ou imediatamente após a micção são dicas importantes de diagnósticos de feocromocitoma na bexiga.

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Biografia do Autor

You Jin Han, Kosin University College of Medicine

MD. Resident Physician, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

So Young Ock, Kosin University College of Medicine

MD. Resident Physician, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Eun Jung Kim, Kosin University College of Medicine

MD. Resident Physician, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Ho Sik Shin, Kosin University College of Medicine

MD. Assistant Professor, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea

Yeon Soon Jung, Kosin University College of Medicine

MD, PhD. Associate Professor, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea

Hark Rim, Kosin University College of Medicine

MD, PhD. Professor, Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea

Referências

Whalen RK, Althausen AF, Daniels GH. Extra-adrenal pheochromocytoma. J Urol. 1992;147(1):1-10.

Gifford RW Jr, Manger WM, Bravo EL. Pheochromocytoma. Endocrinol Metab Clin North Am. 1994;23(2):387-404.

Thompson LD. Pheochromocytoma of the Adrenal gland Scaled Score (PASS) to separate benign from malignant neoplasm: a clinicopathologic and immunophenotypic study of 100 cases. Am J Surg Pathol. 2002;26(5):551-66.

Pacak K, Linehan WM, Eisenhofer G, Walther MM, Goldstein DS. Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma. Ann Intern Med. 2001;134(4):315-29.

Bourne RB, Beltaos E. Pheochromocytoma of the bladder: case report and summary of literature. J Urol. 1967;98(3):361-4.

Fraley SE, Smith CL. Unusual location of pheochromocytoma in the urinary bladder. J Urol. 1959;81(1):130-2.

Kappers MH, van den Meiracker AH, Alwani RA, Kats E, Baggen MG. Paraganglioma of the urinary bladder. Neth J Med. 2008;66(4):163-5.

Tazi MF, Ahallal Y, Tazi E, et al. Pheochromocytoma of the urinary bladder: a case report. Cases J. 2009;2:8585.

Seki N, Mukai S, Gamachi A, et al. A case of bladder pheochromocytoma. Urol Int. 2001;66(1):57-60.

Day JW, Raskin NH. Thunderclap headache: symptom of unruptured cerebral aneurysm. Lancet. 1986;2(8518):1247-8.

Schwedt TJ. Clinical spectrum of thunderclap headache. Expert Rev Neurother. 2007;7(9):1135-44.

Schwedt TJ, Matharu MS, Dodick DW. Thunderclap headache. Lancet Neurol. 2006;5(7):621-31.

Goldfarb DA, Novick AC, Bravo EL, et al. Experience with extra-adrenal pheochromocytoma. J Urol. 1989;142(4):931-6.

Huang KH, Ching SD, Chen SC, et al. Clinical and pathological data of 10 malignant pheochromocytomas: long-term follow up in a single institute. Int J Urol. 2007;14(3):181-5.

Sung KT, Lee SK, Yoon JB. Pheochromocytoma of the urinary bladder. Korean J Urol. 1991;32(5):829-35. Available from: http://koreamed.org/SearchBasic.php?RID=1020KJU%2F1991.32.5.829&DT=1&QY=%22Korean+J+Urol%22+%5BJTI%5D++AND+32+%5BVO%5D+AND+5+%5BISSU%5D. Accessed in 2013 (Oct 25).

Celiktas M, Okur N, Aikimbaev KS, et al. Bladder pheochromo-cytoma encountered on sonography. Australas Radiol. 2004; 48(3):398-400.

Fujishima S, Abe I, Kaseda S, et al. Ambulatory blood pressure monitoring in diagnosing a pheochromocytoma of the urinary bladder. A case report. Angiology. 1997;48(7):655-8.

Doran F, Varinli S, Bayazit Y, Bal N, Ozdemir S. Pheochromocytoma of the urinary bladder. APMIS. 2002;110(10):733-6.

Ram CV, Engelman K. Pheochromocytoma--recognition and management. Curr Probl Cardiol. 1979;4(1):1-37.

Attyaoui F, Nouira Y, Kbaier I, Ben Younes A, Horchani A. Le phéochromocytome vésical [Bladder pheochromocytoma]. Prog Urole. 2000;10(1):95-8.

Michel F, Gattegno B, Sicard JF, Roland J, Thibault P. A propos d’une observation de phéochromocytome vésical malin: conduite diagnostique et thérapeutique. Ann Urol 1990;24(5):396-9. Available from: http://cat.inist.fr/?aModele=afficheN&cpsidt=19306983. Accessed in 2013 (Oct 25).

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Publicado

2015-03-03

Como Citar

1.
Han YJ, Ock SY, Kim EJ, Shin HS, Jung YS, Rim H. Cefaleia trovoada-símile desencadeada pela micção e angina como manifestação inicial de feocromocitoma de bexiga: um relato de caso. Sao Paulo Med J [Internet]. 3º de março de 2015 [citado 15º de outubro de 2025];133(2):154-9. Disponível em: https://periodicosapm.emnuvens.com.br/spmj/article/view/1046

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