PMC4177258_01
Electrocardiogram's data. (A) ST-segment elevation (arrow) at admission. (B) ST-segment resolution after thrombolysis.
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Fig1
The electrocardiogram showed ST-segment elevation in the inferior leads aVF, D2, and D3 (Figure  1A). In the absence of contraindications, intravenous thrombolytic therapy with a single bolus of tenecteplase (metalyse ) was administered, and a significant resolution of segment ST elevation was obtained 30 minutes later (Figure  1B).
Per-operative view showing adrenal tumor (arrow) with extensive retroperitoneal hemorrhage.
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Fig2
Surgical exploration revealed extensive retroperitoneal and intraperitoneal hemorrhage due to the rupture of a large left adrenal tumor (Figures  2 and 3).
Macroscopic inspection of the resected adrenal pheochromocytoma( (10 x 7 x 2 cm).
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Fig3
Surgical exploration revealed extensive retroperitoneal and intraperitoneal hemorrhage due to the rupture of a large left adrenal tumor (Figures  2 and 3).
Histological findings of the tumor. Pheochromocytoma cells located around fine vascularisation (hematoxylin-eosin, X20).
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Fig4
This diagnosis was later confirmed by the final histological examination (Figure  4).