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• W2000986211 abstract "Pheochromocytoma is a rare catecholamine‐producing tumor, discovered incidentally in 50% of cases. We present the case of a 44‐year‐old male with a history of paroxysmal palpitations. Baseline ECG, transthoracic echocardiogram and ECG stress test showed no relevant alterations. Paroxysmal atrial fibrillation was detected on 24‐hour Holter ECG. After antiarrhythmic therapy, the patient remained symptomatic, and was accordingly referred for electrophysiological study and atrial fibrillation ablation. Anticoagulation was initiated before the procedure. After ablation and still anticoagulated, he complained of hematospermia. The abdominal and pelvic imaging study showed a 10‐cm left adrenal mass, predominantly cystic, compatible with pheochromocytoma, which was confirmed after biochemical tests (increased urine metanephrines and plasma catecholamines). Metaiodobenzylguanidine scintigraphy scanning confirmed localized disease in the adrenal gland, excluding other uptake foci. Following appropriate preoperative management, surgical resection of the giant mass was performed successfully and without complications.O feocromocitoma é um tumor raro produtor de catecolaminas, que se descobre incidentalmente em 50% dos casos. Os autores apresentam o caso clínico de um homem de 44 anos de idade, com história de palpitações paroxísticas. O ECG basal, o ecocardiograma transtorácico e a prova de esforço não demonstraram alterações de relevo. O Holter de 24 h revelou fibrilhação auricular paroxística. Após terapêutica antiarrítmica, o doente manteve‐se sintomático, pelo que foi orientado para estudo eletrofisiológico e ablação da fibrilhação auricular, tendo iniciado hipocoagulação oral pré‐procedimento. No período pós‐ablação, ainda hipocoagulado, referiu hematoespermia. O estudo imagiológico abdomino‐pélvico revelou uma massa de 10 cm na glândula suprarrenal esquerda, predominantemente cística, compatível com feocromocitoma, diagnóstico que foi confirmado após testes bioquímicos (elevação das metanefrinas urinárias e das catecolaminas plasmáticas). A cintigrafia corporal com metaiodobenzilguanidina confirmou doença localizada na glândula suprarrenal, excluindo outros focos de captação. Após preparação pré‐operatória adequada, procedeu‐se à resseção cirúrgica da massa gigante com sucesso e sem complicações." @default.
• W2000986211 created "2016-06-24" @default.
• W2000986211 creator A5011910194 @default.
• W2000986211 date "2000-07-01" @default.
• W2000986211 modified "2023-09-24" @default.
• W2000986211 title "Letter from the editor: William of Occam and Henry Hickam" @default.
• W2000986211 doi "https://doi.org/10.1053/sroe.2000.7325" @default.
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