Multiple organ failure as initial presentation of pheochromytoma
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Fig. 1
Macroscopic aspects of the adrenal mass with extensive necrotic and hemorrhagic changes.
Fig. 2
Microscopic aspects of the adrenal mass: at the periphery of the tumour ie at distance of the areas of haemorrhage and necrosis, pheochromocytoma was composed of large monotonous amphophilic cells with round nuclei.
A 50-year-old woman presented to the emergency department complaining of recent cephalalgias with sudden onset of palpitations, abdominal, and thoracic pain followed by nausea and vomiting. She had no medical history, but she reported a case of rhinitis treated for 2 days with a nonsteroidal anti-inflammatory agent. On examination, she was afebrile, with cold peripheries and discreet cyanosis, and abdominal palpation was normal and painless. There were no signs of heart failure, blood pressure was 164/114 mm Hg, and heart rate was 150 beats per minute, but she was oliguric.
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© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
