case_images: PMC10264911_01
case_images: Contrast-enhanced computed tomography at the previous hospital. (A) Pulmonary edema. (B) A mass lesion of 52 mm in greatest diameter is observed, continuous with the left adrenal gland and strongly stained in the arterial predominant phase.
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case_images: PMC10264911_01_AMS2-10-e858-g001.jpg
case_images: ams2858-fig-0001
case_images: Contrast-enhanced computed tomography (CT) showed a 52-mm lesion in the left adrenal gland (Figure 1A). The hypoxemia due to pulmonary edema worsened, and endotracheal intubation was performed (Figure 1B).
case_images: Serial changes in the patient's hemodynamic status. The systolic blood pressure fluctuated dramatically in the range of 40-220 mmHg within a few minutes, and the circulatory agonists were adjusted accordingly. Fourteen hours after admission, the combination of phentolamine and doxazosin markedly improved the hemodynamic status. HR, heart rate; iv, intravenous; SBP, systolic blood pressure.
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case_images: PMC10264911_01_AMS2-10-e858-g003.jpg
case_images: ams2858-fig-0002
case_images: Figure 2 shows the blood pressure trends and medications administered every 15 min for 48 h after admission.