Pheochromocytoma A Case Report and Review of Literature.

Abstract

Introduction:
Pheochromocytoma is a tumour arising from the neural crest tissue and mostly situated in the adrenal medulla (1). It is a rare disorder and accounts for. < 0.1% of all cases with systemic arterial hypertension. While hypertension is a common problem in both the adult and pediatric age groups.in Pakistan (2), local physicians appear not to be aggressive in the workup of secondary causes of hypertension.

Discussion :

This 13 years old young boy was well until about 1 year prior to admission when a variety of symptoms developed, and he was found to be suffering a very high blood pressure. If a sudden release of cathecholamines then occurs, a striking physiologic response would be expected, the so called paroxysmal attacks associated with Pheochromocytomas. This event might be likened, almost in a• mirror-image fashion to the rebound phenomenon described as the propranolol withdrawal syndrome.