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The paradox of hypotension and pheochromocytoma: a case report
Dimitri De Wilde1, Brigitte Velkeniers, Luc Huyghens
1Medical Intensive Care, Virga Jess Hospital, Stadsomvaart 11, B-3500 Hasselt, Belgium. dimitri.dewilde@tiscali.be
Abstract:
Pheochromocytomas produce, store and secrete catecholamines. Diagnosis is often suspected in young patients with severe hypertension. We present the case of a 47-year-old woman without a previous history of hypertension, whose initial presentation was cardiovascular shock. Despite early diagnosis of the disease, the fulminant evolution of the pheochromocytoma crisis was fatal a few hours after admission. Only a few therapeutic options remain when haemodynamic collapse is catecholamine induced.
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