A case of extreme hemodynamic lability and hypocalcemia

Am J Med Sci. 2009 Sep;338(3):241-4. doi: 10.1097/MAJ.0b013e3181a66af1.

Abstract

An epinephrine-secreting pheochromocytoma can present with a confusing picture of hemodynamic lability with rapid fluctuations between hypo- and hypertension. They are challenging to manage and diagnose. We herein present the case of a 44-year-old patient who presented with extreme hemodynamic lability due to an epinephrine-secreting tumor. We discuss the initial management, diagnosis, and definitive therapy of this relatively rare type of pheochromocytoma.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / complications
  • Adrenal Gland Neoplasms / diagnosis*
  • Adrenal Gland Neoplasms / therapy
  • Adult
  • Epinephrine / metabolism*
  • Hemodynamics
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / etiology
  • Hypertension / physiopathology
  • Hypocalcemia / diagnosis*
  • Hypocalcemia / etiology
  • Hypotension / diagnosis*
  • Hypotension / etiology
  • Hypotension / physiopathology
  • Male
  • Pheochromocytoma / complications
  • Pheochromocytoma / diagnosis*
  • Pheochromocytoma / therapy

Substances

  • Epinephrine