Pheochromocytoma Manifesting Persistent Right Shoulder Pain and Hypochondralgia

Hideharu Hagiya, Eri Nakamura, Tomohiro Terasaka, Kou Hasegawa, Kikuko Asano, Takahiro Nada, Kosuke Kimura, Koichi Waseda, Yoshihisa Hanayama, Fumio Otsuka

Research output: Contribution to journalArticlepeer-review

Abstract

We report a 42-year-old female who initially complained of sub-acute onset of right upper quadrant abdominal pain with right shoulder pain. A CT scan incidentally revealed an adrenal tumor, and a final diagnosis of pheochromocytoma was made on the basis of endocrinological examinations. Symptomatically, the pheochromocytoma in our patient mimicked a hepato-biliary disease by presenting abdominal pain accompanying right shoulder pain that was assumed to be referred pain via the right phrenic nerve. Physicians may need to consider the possibility of pheochromocytoma in patients with abdominal symptoms.

Original languageEnglish
Pages (from-to)292-296
Number of pages5
JournalJournal of General and Family Medicine
Volume16
Issue number4
DOIs
Publication statusPublished - Dec 2015

Keywords

  • abdominal pain
  • adrenal tumor
  • hypertension
  • pheochromocytoma
  • referred pain

ASJC Scopus subject areas

  • Family Practice
  • Geriatrics and Gerontology
  • Internal Medicine

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