Abstract
A young previously well male presented with features of acute coronary syndrome and heart failure. ECG showed inferior ST elevations but his cardiac markers and angiogram was negative. He was found to have a large abdominal paraganglioma with normal adrenal glands. He had a successful excision of the tumor and is now under life- long surveillance. He is awaiting genetic testing.
Highlights
A young previously well male presented with features of acute coronary syndrome and heart failure
Pheochromocytomas are rare neuroendocrine tumors arising from chromaffin cells of adrenal medulla
It has an annual incidence of approximately 0.8 per 100,000 (3) and a prevalence that ranges from 0.1-0.6% (2)
Summary
A young previously well male presented with features of acute coronary syndrome and heart failure. There was no family history of hormone disorders, high calcium, brain tumors, adrenal tumors or early onset hypertension. Localizing studies were done and CT scan of the abdomen showed normal bilateral adrenal glands. Preoperative preparation was initiated to control the heart rate, the blood pressure and the circulatory volume to prevent hemodynamic instability during and after surgery.
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