case_images: PMC7996044_01
case_images: Abdominal computed tomography scan showed a left-sided adrenal mass of 5.7 cm (arrow).
case_images: CRIC2021-8848893.001.jpg
case_images: PMC7996044_01_CRIC2021-8848893.001.jpg
case_images: fig1
case_images: On the abdominal computerized tomography (CT) scan, which was performed because of the tender abdomen, a left-sided adrenal mass of 5.7 cm was seen (Figure 1).
case_images: Left ventricular angiography during systole (RAO 24 /CRAN 8 ). Severe hypokinetic midventricular segments compatible with an inverted Takotsubo syndrome (see also Supplementary Material: S1 video).
case_images: CRIC2021-8848893.002.jpg
case_images: PMC7996044_01_CRIC2021-8848893.002.jpg
case_images: fig2
case_images: Ventriculography was suggestive for a basal (reverse or inverted) Takotsubo syndrome, with severe hypokinetic midventricular segments (Figure 2, Svideo).
case_images: Invasive blood pressure monitoring. Cyclic fluctuations of blood pressure and heart rate with systolic blood pressures ranging from 45 mmHg up to 290 mmHg despite administration of alpha-blocking agent Phenoxybenzamine. Stabilization after emergency adrenalectomy. ABPs: arterial blood pressure systolic; ABPd: arterial blood pressure diastolic; ABPm: arterial blood pressure mean; HF: heart frequency.
case_images: CRIC2021-8848893.003.jpg
case_images: PMC7996044_01_CRIC2021-8848893.003.jpg
case_images: fig3
case_images: Nevertheless, he remained profoundly unstable with extreme blood pressure fluctuations (systolic blood pressure ranging from 45 mmHg to 290 mmHg) (Figure 3).