International Journal of Clinical Oncology and Cancer Research

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Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo)

Received: 3 December 2023    Accepted: 2 January 2024    Published: 5 February 2024
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Abstract

Introduction: The diagnosis of pheocytochroma is often late compared to the appearance of symptoms, sources of morbidity and even mortality. However, pheochromocytoma can be discovered incidentally during a pathology unrelated to the tumor. Case report: We report a case revealed by acute viral hepatitis B. It’s a young subject hospitalized in the internal medicine department of the Sylvanus OlympioTeaching Hospital in Lome. This is a 22-year-old patient, professional driver with no known pathological history, admitted for headache, muscle aches and asthenia associated with abdominal pain and postprandial vomiting in a febrile context. In admission, clinical examination revealed high blood pressure (BP=190/140mmHg), a deterioration in general condition, jaundice and painful hepatomegaly. The biological assessment revealed a cholestatic cytolysis syndrome (AST: 48.24N, ALT: 42.23N, PAL: 1.06N, Gamma GT: 3.84N, total bilirubin: 31.4N, direct bilirubin: 89, 6N). The serological assessment revealed acute viral hepatitis B (HbsAg positive and anti-Hbc antibodies type IgM positive, HIV and hepatitis C serologies negative). An abdominal ultrasound noted homogeneous hepatomegaly without dilatation of the portal trunk or bile ducts. Faced with this hypertension in a 22-year-old, secondary hypertension was considered and abdominal CT revealed a pheochromocytoma. Conclusion: Pheochromocytoma is not uncommon in our circles. It should always be considered in the present of high blood pressing in young subject.

DOI 10.11648/ijcocr.20240901.12
Published in International Journal of Clinical Oncology and Cancer Research (Volume 9, Issue 1, April 2024)
Page(s) 11-14
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Viral Hepatitis B, Pheochromocytoma, Hypertension, Young Subject, Lomé (Togo)

References
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Cite This Article
  • APA Style

    Lihanimpo, D., Dzidzonu, N. K., Toyi, T., Edem, M. K., Agbéko, D. K., et al. (2024). Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo). International Journal of Clinical Oncology and Cancer Research, 9(1), 11-14. https://doi.org/10.11648/ijcocr.20240901.12

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    ACS Style

    Lihanimpo, D.; Dzidzonu, N. K.; Toyi, T.; Edem, M. K.; Agbéko, D. K., et al. Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo). Int. J. Clin. Oncol. Cancer Res. 2024, 9(1), 11-14. doi: 10.11648/ijcocr.20240901.12

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    AMA Style

    Lihanimpo D, Dzidzonu NK, Toyi T, Edem MK, Agbéko DK, et al. Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo). Int J Clin Oncol Cancer Res. 2024;9(1):11-14. doi: 10.11648/ijcocr.20240901.12

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  • @article{10.11648/ijcocr.20240901.12,
      author = {Djalogue Lihanimpo and Nemi Komi Dzidzonu and Tchamdja Toyi and Mossi Komi Edem and Djagadou Kodjo Agbéko and Balaka Abago and Djibril Mohaman Awalou},
      title = {Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo)},
      journal = {International Journal of Clinical Oncology and Cancer Research},
      volume = {9},
      number = {1},
      pages = {11-14},
      doi = {10.11648/ijcocr.20240901.12},
      url = {https://doi.org/10.11648/ijcocr.20240901.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.ijcocr.20240901.12},
      abstract = {Introduction: The diagnosis of pheocytochroma is often late compared to the appearance of symptoms, sources of morbidity and even mortality. However, pheochromocytoma can be discovered incidentally during a pathology unrelated to the tumor. Case report: We report a case revealed by acute viral hepatitis B. It’s a young subject hospitalized in the internal medicine department of the Sylvanus OlympioTeaching Hospital in Lome. This is a 22-year-old patient, professional driver with no known pathological history, admitted for headache, muscle aches and asthenia associated with abdominal pain and postprandial vomiting in a febrile context. In admission, clinical examination revealed high blood pressure (BP=190/140mmHg), a deterioration in general condition, jaundice and painful hepatomegaly. The biological assessment revealed a cholestatic cytolysis syndrome (AST: 48.24N, ALT: 42.23N, PAL: 1.06N, Gamma GT: 3.84N, total bilirubin: 31.4N, direct bilirubin: 89, 6N). The serological assessment revealed acute viral hepatitis B (HbsAg positive and anti-Hbc antibodies type IgM positive, HIV and hepatitis C serologies negative). An abdominal ultrasound noted homogeneous hepatomegaly without dilatation of the portal trunk or bile ducts. Faced with this hypertension in a 22-year-old, secondary hypertension was considered and abdominal CT revealed a pheochromocytoma. Conclusion: Pheochromocytoma is not uncommon in our circles. It should always be considered in the present of high blood pressing in young subject.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Pheochromocytoma Discovered Incidentally at the Sylvanus Olympio University Hospital in Lomé (Togo)
    AU  - Djalogue Lihanimpo
    AU  - Nemi Komi Dzidzonu
    AU  - Tchamdja Toyi
    AU  - Mossi Komi Edem
    AU  - Djagadou Kodjo Agbéko
    AU  - Balaka Abago
    AU  - Djibril Mohaman Awalou
    Y1  - 2024/02/05
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    DO  - 10.11648/ijcocr.20240901.12
    T2  - International Journal of Clinical Oncology and Cancer Research
    JF  - International Journal of Clinical Oncology and Cancer Research
    JO  - International Journal of Clinical Oncology and Cancer Research
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    EP  - 14
    PB  - Science Publishing Group
    SN  - 2578-9511
    UR  - https://doi.org/10.11648/ijcocr.20240901.12
    AB  - Introduction: The diagnosis of pheocytochroma is often late compared to the appearance of symptoms, sources of morbidity and even mortality. However, pheochromocytoma can be discovered incidentally during a pathology unrelated to the tumor. Case report: We report a case revealed by acute viral hepatitis B. It’s a young subject hospitalized in the internal medicine department of the Sylvanus OlympioTeaching Hospital in Lome. This is a 22-year-old patient, professional driver with no known pathological history, admitted for headache, muscle aches and asthenia associated with abdominal pain and postprandial vomiting in a febrile context. In admission, clinical examination revealed high blood pressure (BP=190/140mmHg), a deterioration in general condition, jaundice and painful hepatomegaly. The biological assessment revealed a cholestatic cytolysis syndrome (AST: 48.24N, ALT: 42.23N, PAL: 1.06N, Gamma GT: 3.84N, total bilirubin: 31.4N, direct bilirubin: 89, 6N). The serological assessment revealed acute viral hepatitis B (HbsAg positive and anti-Hbc antibodies type IgM positive, HIV and hepatitis C serologies negative). An abdominal ultrasound noted homogeneous hepatomegaly without dilatation of the portal trunk or bile ducts. Faced with this hypertension in a 22-year-old, secondary hypertension was considered and abdominal CT revealed a pheochromocytoma. Conclusion: Pheochromocytoma is not uncommon in our circles. It should always be considered in the present of high blood pressing in young subject.
    
    VL  - 9
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Author Information
  • Department of Internal Medicine, University of Kara, Kara, Togo

  • Internal Medicine Department, University Hospital of Lome, Lome, Togo

  • Department of Internal Medicine, University of Kara, Kara, Togo

  • Internal Medicine Department, University Hospital of Lome, Lome, Togo

  • Internal Medicine Department, University Hospital of Lome, Lome, Togo

  • Department of Internal Medicine, University of Lome, Lome, Togo

  • Internal Medicine Department, University Hospital of Lome, Lome, Togo

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