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Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension
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 tightne...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991103/ https://www.ncbi.nlm.nih.gov/pubmed/33778027 http://dx.doi.org/10.3389/fcvm.2021.648725 |
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author | Wu, Hao-Yu Gao, Tian-Jiao Cao, Yi-Wei Liang, Lei |
author_facet | Wu, Hao-Yu Gao, Tian-Jiao Cao, Yi-Wei Liang, Lei |
author_sort | Wu, Hao-Yu |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7991103 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79911032021-03-26 Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension Wu, Hao-Yu Gao, Tian-Jiao Cao, Yi-Wei Liang, Lei Front Cardiovasc Med Cardiovascular Medicine 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. Frontiers Media S.A. 2021-03-11 /pmc/articles/PMC7991103/ /pubmed/33778027 http://dx.doi.org/10.3389/fcvm.2021.648725 Text en Copyright © 2021 Wu, Gao, Cao and Liang. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Wu, Hao-Yu Gao, Tian-Jiao Cao, Yi-Wei Liang, Lei Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title | Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title_full | Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title_fullStr | Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title_full_unstemmed | Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title_short | Case Report: Pheochromocytoma in a 59-Year-Old Woman Presenting With Hypotension |
title_sort | case report: pheochromocytoma in a 59-year-old woman presenting with hypotension |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7991103/ https://www.ncbi.nlm.nih.gov/pubmed/33778027 http://dx.doi.org/10.3389/fcvm.2021.648725 |
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