Occult ganglioneuroma with diarrhea: Localization by venous catecholamines

✍ Scribed by Schuman, Andrew J. ;Alario, Anthony J. ;Pitel, Paul A.

• Publisher: John Wiley and Sons
• Year: 1984
• Tongue: English
• Weight: 435 KB
• Volume: 12
• Category: Article
• ISSN: 0098-1532
• DOI: 10.1002/mpo.2950120206

✦ Synopsis

Neural crest tumors can be complicated by secretory diarrhea mediated by vasoactive in-vealing. A selective vena caval catheterization testinal peptide (VIP). An eight-month-old showed elevated catecholamines in a sample male with a several-month history of secre-obtained above the renal veins. Subsequent tory diarrhea is described. Elevated urine van-laparotomy disclosed a benign ganglioneuillylmandelic adic (VMA), total urine cate-roma arising from the left adrenal; the diarcholamines, and plasma VIP indicated that a rhea resolved after its removal. Selective neural crest tumor was responsible for his venous sampling proved useful in establishprotracted diarrhea. An extensive search for ing the tumor's location where other techthe tumor including CT scans of his head, niques had been unsuccessful. neck, thorax, abdomen, and pelvis was unre