TRANSIENT HYPERTENSION DUE TO ADRENAL HEMORRHAGE IN A PATIENT WITH VON-RECKLINGHAUSENS-DISEASE

A 29-year-old man with von Recklinghausen's disease suddenly developed severe epigastric pain and was admitted to hospital, Physical examina tion revealed elevated blood pressure (200/130 mmHg) and tachycardia ( 162 bpm),Initially, he was suspected to have appendicitis, and appende ctomy was performed immediately; however, appendicitis was not demonst rable pathologically, Retroperitoneal hematoma was found incidentally during the operation, Further clinical and laboratory examination demo nstrated a marked increase in the urinary excretion of catecholamines, There was no evidence of pheochromocytoma on computed tomography or m agnetic resonance imaging; however, these imaging studies simply showe d a hematoma at the right adrenal gland, Transient hypertension and ta chycardia, resembling pheochromocytoma, was caused by adrenal hemorrha ge.