ECE2020 ePoster Presentations Adrenal and Cardiovascular Endocrinology (58 abstracts)
Acute low members ischemia revealing a pheochromocytoma
Wiem Saafi , Ahmed Guiga , Nouha Ghriss , wissal ben yehia , Ahmed Bouker , Amira Atig & Neirouz Gannouchi
Farhat Hached University Hospital, Internal Medicine, Sousse, Tunisia
Introduction: Pheochromocytoma is a rare tumor of adrenal gland tissue that is responsible for secondary hypertension and other clinical manifestations resulting from catecholamine excess and it can result in severe damage to other body systems, especially the cardiovascular system. Here we report an atypical presentation of pheochromocytoma.
Presentation: A 40 years old female patient that was admitted into the internal medicine ward with acute ischemia of lower limbs. The patient has no particular medical history. She had a high blood pressure level (160/90 mmHg) without other signs of catecholamine excess with no hypokalemia. The Doppler ultrasound showed permeable arteries. The angioscan did not show vascular abnormalities but an 11 mm left adrenal adenoma. Biological investigations for an endocrine cause of hypertension showed elevation of plasma metanephrines 5 times the normal levels. The diagnosis of pheochromocytoma was posed and the patient was operated with a positive outcome.
Conclusion: The classic symptoms of pheochromocytoma include palpitations, headache, and generalized sweating. Those signs may occur in a paroxysmal manner. The presence of hypertension in young adults even without the typical presentation should lead us to think of the diagnosis of pheochromocytoma.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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