PMC7103034_01
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.
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fig1
Ventriculography confirmed "inverted" takotsubo cardiomyopathy (Figure 1).
Contrast-enhanced total body CT scan revealing a left adrenal heterogeneous mass of 59 x 56 mm (red dots).
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fig2
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).
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.
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fig3
A and S100 (Figure 3), confirming the diagnosis of pheochromocytoma. After surgery, the patient's hemodynamic condition rapidly stabilized.