Reverse Takotsubo Pattern in the Setting of Undiagnosed Pheochromocytoma and Pulmonary Embolism: A Rare Presentation

Pheochromocytoma Crisis in the Emergency Department

“…Along with hypertensive emergency, this case demonstrates that management of pheochromocytoma can be complicated by metabolic derangements such as DKA, coagulopathic states such as DIC, and thromboembolic events. Pulmonary embolism in pheochromocytoma has been documented in several case reports along with other manifestations such as cerebral venous thrombosis and inferior vena cava thrombosis [ 6 , 7 ]. While a prothrombotic state is well known in the setting of malignancy, the exact pathophysiology of increased prevalence of thrombotic events in histologically benign pheochromocytoma is unknown.…”