Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 8, Number 12, December 2017, pages 396-399


Norepinephrine Type Pheochromocytoma With Concomitant Aortic Aneurysms: A Distinctive Association

Figures

Figure 1.
Figure 1. Abdominal CT with contrast revealing an AAA with a maximum diameter of 5.3 cm at the level of the celiac artery.
Figure 2.
Figure 2. Abdominal CT with contrast showing a left suprarenal mass 5.3 × 4.7 cm in size.
Figure 3.
Figure 3. Catabolism of catecholamines - normetanephrine and metanephrine.

Table

Table 1. Serum and Urine Biochemical Studies
 
ParametersValueNormal range
Plasma renin activity (ng/mL/h)0.060.25 - 5.82
Plasma aldosterone (ng/dL)13 - 16
24-h urine fractionated metanephrine (µg/24 h)12190 - 315
24-h urine normetanephrine (µg/24 h)4,966122 - 676
24-h urine total metanephrine (µg/24 h)5,087224 - 832
Free plasma metanephrine (pg/mL)< 25≤ 57
Free plasma normetanephrine (pg/mL)1,512≤ 148
Total metanephrine (pg/mL)1,512≤ 205
8-AM plasma cortisol (µg/dL)3.97.0 - 20.0