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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Nabil Kanjaa Abdelmalek Oussaden Abderrahim El Bouazzaoui Brahim Boukatta Nawal Hammas Nawfal Houari Hicham Sbai |
| Abstract | Le phéochromocytome est une tumeur rare. Il se manifeste habituellement par la triade de Ménard ou par une hypertension artérielle. Des cas rares de phéochromocytome ont été révélés par un syndrome coronaire aigu. Patiente âgée de 57 ans, ayant l'antécédent d'hypertension artérielle sous amlodipine, est admise pour syndrome coronaire aigue sans sus décalage du segment ST à troponine positive. La coronarographie est revenue en faveur d'un réseau coronaire grêle sans sténose significative. Une masse tissulaire surrénalienne droite a été retrouvée sur une échographie rénale de routine et confirmée par un scanner scanner abdominal. Le dosage des cathecholamines urinaires trouve des taux très élevés d'adrénaline et de noradrenaline. Apres une préparation par un β bloquants associé à un inhibiteur calcique, l'exérèse chirurgicale de la tumeur a été réalisée par voie coelioscopique sous monitorage hémodynamique invasif. L'examen anatomopathologique de la pièce opératoire confirme le diagnostic de phéochromocytome. L'évolution à court et moyen terme est favorable, notamment disparition de la triade de Menard, des douleurs thoraciques. La révélation d'un phéochromocytome par la survenue d'un syndrome coronaire aigu est rare, souvent ignorées, mais dont les conséquences peuvent être dramatiques. La tumorectomie peut conduire à la guérison complète et définitive des manifestations cardiaques.Key words: Phéochromocytome, syndrome coronaire, coronarographie |
| File Format | |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2015.22.151.7505 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 22 |
| Language | English French |
| Publisher Date | 2016-03-31 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Phéochromocytome syndrome coronaire coronarographie |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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