PMC10264911_01
Contrast-enhanced computed tomography at the previous hospital. (A) Pulmonary edema. (B) A mass lesion of 52 mm in greatest diameter is observed, continuous with the left adrenal gland and strongly stained in the arterial predominant phase.
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Contrast-enhanced computed tomography (CT) showed a 52-mm lesion in the left adrenal gland (Figure 1A). The hypoxemia due to pulmonary edema worsened, and endotracheal intubation was performed (Figure 1B).
Serial changes in the patient's hemodynamic status. The systolic blood pressure fluctuated dramatically in the range of 40-220 mmHg within a few minutes, and the circulatory agonists were adjusted accordingly. Fourteen hours after admission, the combination of phentolamine and doxazosin markedly improved the hemodynamic status. HR, heart rate; iv, intravenous; SBP, systolic blood pressure.
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Figure 2 shows the blood pressure trends and medications administered every 15 min for 48 h after admission.