title: Uncontrolled hypertension, palpitation and sweating in young female - A rare cause.
abstract: Extra-adrenal /retroperitoneal paraganglioma is a rare cause of hypertension in young with increased incidence of metastasis as compared to adrenal pheochromocytoma. We present a case of a young female with history of headache, nausea/vomiting, palpitations, uncontrolled hypertension, heat intolerance and diaphoresis. The 24-hour urine catecholamine levels were elevated. Clinical diagnosis of pheochromocytoma was made and further evaluation with Computed Tomography (CT) scan of the adrenals revealed extradrenal para-aortic retroperitoneal mass in keeping with paraganglioma. Gallium-68 DOTATE positron emission tomography-CT scan (PET-CT) confirmed the diagnosis without evidence of metastatic foci.
authors.affiliation: Singapore General Hospital, Department of Radiology, Outram Road, Singapore 169608. sandeep_hvradiologist@hotmail.com.
authors.forename: H V
authors.initials: HV
authors.lastname: Sandeep
authors.affiliation: Singapore General Hospital, Department of Radiology, Outram Road, Singapore 169608.
authors.forename: K S
authors.initials: KS
authors.lastname: Sarat
authors.affiliation: Singapore General Hospital, Department of Radiology, Outram Road, Singapore 169608.
authors.forename: L T
authors.initials: LT
authors.lastname: Ng
mesh_terms: D005260:Female; D006339:Heart Rate; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D010235:Paraganglioma / Q000150:complications / Q000175:diagnosis*; D010673:Pheochromocytoma / Q000150:complications / Q000175:diagnosis*; D000072078:Positron Emission Tomography Computed Tomography; D013546:Sweating; D014057:Tomography, X-Ray Computed