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Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension
- Source :
- Frontiers in Cardiovascular Medicine, Vol 8 (2021), Frontiers in Cardiovascular Medicine
- Publication Year :
- 2021
- Publisher :
- Frontiers Media S.A., 2021.
-
Abstract
- Background: Pheochromocytoma patients who present with shock are extremely rare. Here, we report a patient who presented with shock and was diagnosed with pheochromocytoma.Case Summary: A 59-year-old woman with a history of hypertension without any treatment for 5 years presented with chest tightness. Vital signs on arrival indicated blood pressure of 78/50 mmHg. Twelve-lead electrocardiogram indicated ST-segment depression in leads II, III, aVF, and V3–V6 and QT prolongation. Coronary angiogram revealed no evidence of coronary artery disease. Contrast-enhanced computed tomography demonstrated an inhomogeneous right adrenal mass (2.5 × 3.0 cm). Her 24-h urinary norepinephrine and catecholamine levels were elevated. The patient underwent laparoscopic right adrenalectomy. Histopathology confirmed adrenal pheochromocytoma with residual necrosis. The patient was diagnosed with pheochromocytoma. During the 2-year follow-up, the patient was asymptomatic, and her blood pressure remained normal without medication. ECG showed that the ST-segment depression in leads II, III, aVF, and V3–V6 and the QT prolongation had disappeared. The patient showed no signs of recurrence, with normal urine norepinephrine and catecholamine levels.Conclusion: Patients with pheochromocytoma can present with hypotension or even shock. Clinicians should suspect pheochromocytoma when a patient with a history of hypertension has sudden hypotension or even shock.
- Subjects :
- medicine.medical_specialty
hypotension
lcsh:Diseases of the circulatory (Cardiovascular) system
Case Report
shock
030204 cardiovascular system & hematology
Cardiovascular Medicine
electrocardiogram
Asymptomatic
QT interval
Pheochromocytoma
Coronary artery disease
Norepinephrine (medication)
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Depression (differential diagnoses)
cardiovascular complication
business.industry
medicine.disease
pheochromocytoma
Blood pressure
lcsh:RC666-701
030220 oncology & carcinogenesis
Shock (circulatory)
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- Language :
- English
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Frontiers in Cardiovascular Medicine
- Accession number :
- edsair.doi.dedup.....2eba84436262af79d0ab92c33fc298d0