case_images: PMC7103034_01
case_images: Ventriculography showing akinesia of the basal and midmyocardial segments and preserved contractility of the apex (arrows). The aspect is compatible with an inverted takotsubo pattern. (a) Diastole and (b) systole.
case_images: CRIE2020-2521046.001.jpg
case_images: PMC7103034_01_CRIE2020-2521046.001.jpg
case_images: fig1
case_images: Ventriculography confirmed "inverted" takotsubo cardiomyopathy (Figure 1).
case_images: Contrast-enhanced total body CT scan revealing a left adrenal heterogeneous mass of 59 x 56 mm (red dots).
case_images: CRIE2020-2521046.002.jpg
case_images: PMC7103034_01_CRIE2020-2521046.002.jpg
case_images: fig2
case_images: Contrast-enhanced total body CT scan identified a left adrenal heterogeneous mass measuring 59 x 56 mm (Figure 2). 24-hour fractionated urinary metanephrine and normetanephrine levels were 7483 and 8895 mug, respectively (normally <240 and <600).
case_images: Pathological examination showing nests of polygonal cells with eosinophilic cytoplasm (a). Immunohistochemical staining is strongly positive for chromogranin A (b) and S100 (c) confirming the diagnosis of pheochromocytoma.
case_images: CRIE2020-2521046.003.jpg
case_images: PMC7103034_01_CRIE2020-2521046.003.jpg
case_images: fig3
case_images: A and S100 (Figure 3), confirming the diagnosis of pheochromocytoma. After surgery, the patient's hemodynamic condition rapidly stabilized.