Pheochromocytoma – An Unusual Presentation – A Case Report

Authors

  • Indrajit Prasad deputed to Department of Endocrinology, BIRDEM
  • Zafar Ahmed Latif Professor and Head, Department of Endocrinology, BIRDEM
  • Faruque Pathan Associate Professor, Department of Endocrinology, BIRDEM.
  • SM Ashrafuzzaman Assistant Professor, Department of Endocrinology, BIRDEM
  • Firoz Amin Registrar, Department of Endocrinology, BIRDEM

DOI:

https://doi.org/10.3329/jbcps.v28i2.5371

Keywords:

Pheochromocytoma

Abstract

This case report is of a 50yrs old man who got admitted in
BIRDEM Hospital in a state of unconsciousness for 5 hours
.He is a known case of hypertension and diabetes mellitus
for the last 12 years and was on insulin. Hypoglycemia was
detected, treated with intravenous glucose and the patient
regained consciousness. On further query he complained
of repeated episodes of nausea, palpitation and sweating
for the last 12 years. The episodes were initially labeled as
hypoglycemia but blood sugar was never found in
hypoglycemic range. The patient was on multiple
antihypertensive medications but blood pressure was
uncontrolled. All the investigations were normal including
24hrs urinary VMA, serum adrenalin and noradrenalin
except ultrasonography of whole abdomen which showed a
mass measuring 72x 76 mm in left suprarenal region. One
night the patient again developed palpitation, chest
discomfort, severe headache and profuse sweating. Blood
pressure was recorded 240/160 mmHg. Blood sample was
drawn for adrenalin, noradrenalin, 24hrs urine collection
was done for VMA and was found very high. The patient
was diagnosed as having left adrenal pheochromocytoma.
After controlling blood pressure and other preoperative
preparations left adrenalectomy was done. Histopathology
revealed phaeochromocytoma. Per and postoperative
periods were quite eventful. Blood pressure was normal
without any antihypertensive drug during discharge. The
patient was discharged with the advice to come for follow
up after 1 month.

DOI: 10.3329/jbcps.v28i2.5371

J Bangladesh Coll Phys Surg 2010; 28: 113-116

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How to Cite

Prasad, I., Latif, Z. A., Pathan, F., Ashrafuzzaman, S., & Amin, F. (2010). Pheochromocytoma – An Unusual Presentation – A Case Report. Journal of Bangladesh College of Physicians and Surgeons, 28(2), 113–116. https://doi.org/10.3329/jbcps.v28i2.5371

Issue

Vol. 28 No. 2 (2010)

Section

Case Reports

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