Pheochromocytoma presenting as a mimic of acute coronary syndrome
Hakim, Y.; Forbes, A.; Khan, M.; Whitelaw, B.C.
Acute Medicine 15(3): 145-148
2016
ISSN/ISBN: 1747-4892 PMID: 27759750 Document Number: 16741
Chest pain with elevated serum troponin is a common clinical presentation and is normally managed as suspected myocardial infarction or acute coronary syndrome (ACS). We report a 49 year old man who presented with central chest pain sweating and breathlessness. He had a significantly elevated serum troponin I level and a subsequent angiogram showed near normal coronary arteries. He was subsequently investigated for fever and found to have a 3cm right sided adrenal mass consistent with a pheochromocytoma. After confirmation and appropriate blockade laparoscopic adrenalectomy was performed. Pheochromocytoma may present as a mimic of acute coronary syndrome but this is often unrecognized and leaves the patient at risk of future pheo crisis events which may be fatal.
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