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Sudden Death due to a Paraganglioma of the Organs of Zuckerkandl

 

作者: Kris Sperry,   John Smialek,  

 

期刊: The American Journal of Forensic Medicine and Pathology  (OVID Available online 1986)
卷期: Volume 7, issue 1  

页码: 23-29

 

ISSN:0195-7910

 

年代: 1986

 

出版商: OVID

 

数据来源: OVID

 

摘要:

A 20-year-old woman died suddenly in a hospital emergency room after presenting with nausea, vomiting, back pain, and hypertension. At autopsy, an extra-adrenal pheochromocytoma (paraganglioma) of the organs of Zuckerkandl was found, with microscopic focal myocardial necrosis similar to that described in death from adrenal pheochromocytomas. Tumors of the organs of Zuckerkandl are extremely rare; less than 100 such cases have been reported in the world's literature, and only six, including the present case, have presented as a sudden, unexpected death. The symptoms of catecholamine storm may mimic those of acute drug intoxications, leading to misdiagnosis by both clinical physicians and pathologists.

 

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