Secretion of Vasopressin from a Human Pheochromocytoma
Authors: Gilles Boccara
Journal: Annals of Internal Medicine (1998)

Letters15 June 1998Secretion of Vasopressin from a Human PheochromocytomaGilles Boccara, MD, Claude Mann, MD, and Gilles Guillon, MDGilles Boccara, MDHospital St-Eloi; Montpellier, France, Claude Mann, MDHospital St-Eloi; Montpellier, France, and Gilles Guillon, MDHospital St-Eloi; Montpellier, FranceAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-12_Part_1-199806150-00031 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:A 12-year-old boy presented to the hospital with exertional dyspnea, resting tachycardia (heart rate, 180 beats/min), and hypertension (blood pressure, 220/110 mm Hg). Investigations showed a left para-aortic pheochromocytoma, and the patient was scheduled for surgical resection of the tumor.Intraoperative manipulation of the tumor lead to hypertension; however, systolic blood pressure never exceeded 220 mm Hg, and heart rate never exceeded 100 beats/min because of treatment with a calcium-channel blocker and a β1-adrenergic blocker. Plasma concentrations of catecholamine did not vary markedly, but the plasma level of arginine vasopressin did: The level was 220 pmol/L (normal, ...References1. Guillon G, Trueba M, Joubert D, Grazzini E, Chouinard L, Cote M, et al. Vasopressin stimulates steroid secretion in human adrenal glands: comparison with angiotensin II effect. Endocrinology. 1995; 136:1285-95. Google Scholar2. Nussdorfer G. Paracrine control of adrenal cortical functions by medullary chromaffin cells. Pharmacol Rev. 1996; 48:495-530. Google Scholar3. Mann C, Millat B, Boccara G, Atger J, Colson P. Tolerance of laparoscopy for resection of pheochromocytoma. Br J Anesth. 1996; 77:795-7. Google Scholar4. Walder AD, Aitkenhead AR. Role of vasopressin in the haemodynamic response to laparoscopic cholecystectomy. Br J Anesth. 1997; 78:264-6. Google Scholar Author, Article, and Disclosure InformationAffiliations: Hospital St-Eloi; Montpellier, France PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMECHANISMS IN ENDOCRINOLOGY: Autocrine/paracrine regulatory mechanisms in adrenocortical neoplasms responsible for primary adrenal hypercorticismSevere polyuria after the resection of adrenal pheochromocytomaVasopressin for the treatment of catecholamine-resistant hypotension during a phaeochromocytoma resection in a 6-year-old childUnexpected Findings During the Anesthetic Management of a Patient With a Cardiac ParagangliomaIntrahepatic cholestasis as a paraneoplastic syndrome associated with pheochromocytomaInterleukin-6 producing pheochromocytoma presenting with acute inflammatory syndromeCurrent topics in pheochromocytoma 15 June 1998Volume 128, Issue 12_Part_1Page: 1049KeywordsAdrenocorticotropic hormoneArginineBlood plasmaBlood pressureHeart rateHypertensionPheochromocytomaSurgical resectionTumor resectionVasopressin Issue Published: 15 June 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...