PHEOCHROMOCYTOMA: A CASE OF PAROXYSMAL HYPERTENSIVE ATTACKS INDUCED BY EATING AND CHANGE OF POSITION

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Abstract
A case is described of a 41-year-old Negro male found to have a pheochromocytoma after an episode of acute pulmonary edema. The history of abdominal symptoms, dizziness and sweating dated back a number of years. His complaints were due to paroxysmal hypertensive attacks induced by eating and change of position well documented by history and clinical observation. Removal of the tumor resulted in cure with no further symptomatology. Presacral air insufflation localized the tumor preoperatively. The use of atropine as a preoperative medication probably accounted for the increased hypertension during surgery despite the liberal use of hypotensive agents.