A Case of Pheochromocytoma Presenting as Low Back Pain
DOI: 10.1016/j.jmpt.2007.06.009
Title: A Case of Pheochromocytoma Presenting as Low Back Pain
Journal Title: Journal of Manipulative and Physiological Therapeutics
Volume: 30
Issue: 8
Publication Date: October 2007
Start Page: 598
End Page: 601
Published online: online 7 November 2007
ISSN: 0161-4754
Author: Matthew A. Davis, DCa, Geoffrey M. Bove, DC, PhDb

  • a Chiropractic Physician, Carlos G Otis Health Care Center Inc, PO Box 216, Townshend, VT 05353

  • b Assistant Professor, Department of Anesthesia & Critical Care, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass
  • Abstract: eThis case report describes and discusses a patient with a Pheochromocytoma who presented to a chiropractic office with low back pain.Clinical FeaturesThe patient is a 51-year-old woman who was self-referred to our chiropractic service with low back pain that appeared to be musculoskeletal in nature. Four days after chiropractic consultation, she collapsed in cardiogenic shock with signs of congestive heart failure, left ventricular dysfunction, and hypotension. Computed tomographic image of the abdomen revealed a right-sided adrenal mass that was confirmed via laboratory analysis to be a Pheochromocytoma.Intervention and OutcomeThe patient underwent laparoscopic adrenalectomy and made a full recovery. Her initial back symptoms resolved with tumor excision.ConclusionPheochromocytomas are rare catecholamine-producing tumors of the adrenal glands that can mimic musculoskeletal conditions such as low back pain. Chiropractic physicians should be aware of the various clinical presentations and, when Pheochromocytoma is suspected, make prompt referral to medical providers for diagnostic evaluation and treatment.
    Accepted: 26 June 2007
    Received: 23 April 2007
    Revised: 31 May 2007
    Email: mdavis@gracecottage.org gbove@bidmc.harvard.edu

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