Margarita Gjata*, Eneida Hoxha, Joniada Xhanaj, Ilir Gjermeni, Ledio Collaku and Mihal Tase
Department of Internal Medicine, University Hospital Center Mother Teresa, AlbaniaFulltext PDF
Pheochromocytoma is a rare catecholamine secreting tumor originating usually from adrenal medulla and produces signs and symptoms due excessive catecholamine secretion from tumor. A young female patient of 16 year age presented with paroxysmal attacks of hypertension causing, dizziness, blurring of vision and headache for last 5 months. Clinical suspicion of pheochromocytoma was confirmed by transabdominal USG and CT scan of abdomen. After having two weeks of preoperative preparation with alpha blocker and beta–blocker, open surgical removal of pheochromocytoma was done. Preoperative 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 causes of surgically correctable hypertension.
Pheochromocytoma; Catecholamine; Hypertension; Alpha blocker
Gjata M, Hoxha E, Xhanaj J, Gjermeni I, Collaku L, Tase M. A Case Report of a Giant Adrenal Pheochromocytoma. Ann Hypertens. 2018;1(1):1001.