Images in Surgery| Volume 155, ISSUE 4, P726-727, April 2014

Pheochromocytoma crisis resulting in acute heart failure and cardioembolic stroke in a 37-year-old man

Published:January 09, 2013DOI:
      A previously healthy, 37-year-old man presented to his primary care physician with new-onset hypertension, cough, and dyspnea. He was initially diagnosed with asthma and was treated with inhalation corticosteroids. Despite treatment, his symptoms worsened over a 3-month period. Although previously athletic, he developed exercise intolerance, orthopnea, and paroxysmal nocturnal dyspnea. His symptoms prompted admission to a community hospital to rule out pulmonary embolism. Contrast computed tomography of the chest instead demonstrated a 5.3 × 4.8-cm left adrenal tumor (Fig).
      This section features outstanding photographs of clinical materials selected for their educational value or message, or possibly their rarity. The images are accompanied by brief case reports (limit 2 typed pages, 4 references). Our readers are invited to sumit items for consideration.
      Figure thumbnail gr1
      FigInitial preoperative abdominal imaging showing a large pheochromacytoma.
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