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Case Reports in Transplantation
Volume 2014 (2014), Article ID 934385, 3 pages
http://dx.doi.org/10.1155/2014/934385
Case Report

A Symptomatic De Novo Pheochromocytoma 23 Years after Liver Transplantation: A Case Report and Review of the Literature

1Division of Transplantation, Department of Surgery, University of Washington, Seattle, WA, USA
2Department of Anatomic Pathology, University of Washington, Seattle, WA, USA

Received 11 June 2014; Accepted 14 November 2014; Published 14 December 2014

Academic Editor: Marian Klinger

Copyright © 2014 M. I. Montenovo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of subacute onset of headaches and tremors with a newly discovered adrenal pheochromocytoma 23 years after an orthotopic liver transplantation and provide a review of the scarce literature regarding endocrine malignancies in liver transplant recipients. We describe the clinical presentation, diagnostic work-up, and management. This is the second case report in the literature of a de novo pheochromocytoma after solid organ transplantation. It shows that new-onset common symptoms in transplant recipients are always challenging and deserve a very thorough work-up until the cause of the symptoms is elucidated. A broad differential diagnosis should always be included in the study of any abnormalities in this patient population.