Pınar AKHANLI, Bekir UCAN, Ahmet HASDEMİR, Sema HEPŞEN, İlknur ÖZTÜRK ÜNSAL, Mehmet Ali FELEKOĞLU, Erman ÇAKAL

Akut koroner sendromu taklit eden dev feokromositoma olgusu

Cardiac presentations mimicking acute coronary syndrome of a giant pheochromocytoma case

Pheochromocytomas are benign tumors which originate from adrenal chromaffin cells. The classical triad of the pheochromocytoma includes headache, palpitations, and diaphoresis. Cardiac complications as arrhythmias, cardiomyopathy, ST elevated myocardial infarction, non-ST elevated myocardial infarction and myocardial infarction with non-obstructive coronary arteries (MINOCA) may be seen. Herein, we present a case of a 28-year-old male patient who admitted to an emergency department with chest pain and tachycardia one year ago. Coronary angiography was performed to diagnose a possible acute coronary syndrome. Urgent cardiac catheterization did not demonstrate an obstructive cardiac artery. Any intervention for revascularization was not needed. Nevertheless, the symptoms of the patient continued in the past year after this admission and he was admitted to the hospital a few times more with similar cardiac symptoms mimicking acute coronary syndrome. When the patient referred to our department, we determined that his plasma and urinary catecholamine levels were elevated. Magnetic resonance imaging (MRI) demonstrated a 167x70 mm sized heterogeneous mass including cystic components in the right adrenal gland, which pushes the right kidney towards inferior. After the pre-medication, a 170 mm in size 990-g weighted mass was successfully removed with open surgery. Histopathological findings confirmed the pheochromocytoma diagnosis. However, we presented a case of an exceptional giant pheochromocytoma mimicking acute coronary syndrome.

Keywords:

pheochromocytoma, acute coronary syndrome, giant adrenal mass,

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