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Eur J Case Rep Intern Med. 2018 Oct 24;5(10):000959. doi: 10.12890/2018_000959. eCollection 2018.

Not So Incidental: Pheochromocytoma in an Adult with Unrepaired Cyanotic Heart Disease.

European journal of case reports in internal medicine

Nikesh Adunuri, Marko Mrkobrada

Affiliations

  1. Department of Internal Medicine, University of Western Ontario, London, Canada.

PMID: 30755984 PMCID: PMC6346887 DOI: 10.12890/2018_000959

Abstract

Pheochromocytoma, a rare neuroendocrine tumour, is often encountered in the general internal medicine clinic as an adrenal incidentaloma. Even rarer is its presence in adult cyanotic heart disease, although there are a few documented reports of this association in various paediatric populations, with chronic hypoxia being the likely driving force. Here we present the case of a 38-year-old adult with unrepaired complex cyanotic congenital heart disease with biochemically proven pheochromocytoma presenting as an adrenal incidentaloma to a general internal medicine clinic.

LEARNING POINTS: There is an association between pheochromocytoma and congenital cyanotic heart disease.It is important to maintain clinical vigilance for laboratory testing for pheochromocytoma in patients with cyanotic heart disease who are seen at general internal medicine clinics.

Keywords: Pheochromocytoma; cyanotic heart disease

Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

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