A Case Report of Adrenal Pheochromocytoma.
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Date
2011-01
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Abstract
Pheochromocytoma is a rare catecholamine secreting tumour originating usually from adrenal medulla and produces
signs and symptoms due excessive catecholamine secretion from tumour. A young female patient of 21 year age
presented with paroxysmal attacks of hypertension causing palpitation, dizziness, blurring of vision and headache for
last 06 months. Clinical suspicion of pheochromocytoma was confirmed by 24 hour urinary catecholamine level,
transabdominal USG and CT scan of abdomen. After having two weeks of preoperative preparation with
phenoxybenzamine and propanolol, open surgical removal of pheochromocytoma was done. Peroperative fluctuation
of BP was well managed by IV fluid overload, intravenous phentolamine, intravenous esmolol and intravenous
ephedrine. Postoperative recovery was uneventful and BP regains to normal range from 1st postoperative day.
Pheochromocytoma is a rare cause of hypertension. If the diagnosis of pheochromocytoma is overlooked, the
consequences could be disastrous, even fatal; however, if a pheochromocytoma is identified, it is potentially curable,
as being one of the cause of surgically correctable hypertension.
Description
Keywords
Pheochromocytoma, catecholamine, hypertension, alpha blocker
Citation
Biswas S K, Alam M J, Rahaman M M, Rahaman MM, Sanjowal L, Islam M M S U. A Case Report of Adrenal PheochromocytomaFaridpur Medical College Journal. 2011 Jan; 6(1): 55-59.