Sepsis Unfolding a Very Large Pheochromocytoma in an Elderly Patient: A Case Report

Authors

  • Subhash Chandra Dash1, Naba Kishore Sundaray2, Debabrata Kumar Sabat3, Urvashi Ghosh4, Promod Kumar Tudu5, Sohail6

DOI:

https://doi.org/10.37506/ijphrd.v11i3.3946

Keywords:

Giant pheochromocytoma, asymptomatic, elderly, triggering factor, aggressive tumor

Abstract

Pheochromocytoma in elderly, often escapes the diagnosis or diagnosed incidentally. Even large
pheochromocytoma can be non-secreting until triggered by an external factor. We report here, a case of
very large tumor in an elderly patient which was silent till she was hospitalized with sepsis. A 72-years-old
female admitted with fever for 15 days. Physical examination and investigations led to the diagnosis of
lower respiratory infection with sepsis. Ultrasonography followed by CT scan showed left cystic suprarenal
mass of 16.4x13.9x11.7 cm and 24-hour fractionated metanephrines were elevated by >3 fold the upper
normal limit by high performance liquid chromatography (HPLC) method. Histopathology confirmed
pheochromocytoma and biologically aggressive tumor (Pheochromocytoma of the adrenal gland scaled
score of 4). Based on literature search, our case represents one of the largest, biologically aggressive,cystic
pheochromocytoma in elderly.

Author Biography

  • Subhash Chandra Dash1, Naba Kishore Sundaray2, Debabrata Kumar Sabat3, Urvashi Ghosh4, Promod Kumar Tudu5, Sohail6

    1Associate Professor, PG Department of Medicine, 2Professor, PG Department of Medicine, 3Associate Professor,
    Department of Urology, 4PG Resident, PG Department of Pathology, 5Assistant Professor, PG Department
    of Medicine, 6PG Resident, PG Department of Medicine, I.M.S. & S.U.M. Hospital, Siksha ‘O’ Anusandhan
    University, Bhubaneswar

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Published

2020-03-26

How to Cite

Sepsis Unfolding a Very Large Pheochromocytoma in an Elderly Patient: A Case Report. (2020). Indian Journal of Public Health Research & Development, 11(3), 553-557. https://doi.org/10.37506/ijphrd.v11i3.3946