CASE REPORTS Pheochromocytoma – An Unusual Presentation

This case report is of a 50yrs old man who got admitted in BIRDEM Hospital in a state of unconsciousness for 5 hours.He is a known case of hypertension and diabetes mellitus for the last 12 years and was on insulin. Hypoglycemia was detected, treated with intravenous glucose and the patient regained consciousness. On further query he complained of repeated episodes of nausea, palpitation and sweating for the last 12 years. The episodes were initially labeled as hypoglycemia but blood sugar was never found in hypoglycemic range. The patient was on multiple antihypertensive medications but blood pressure was uncontrolled. All the investigations were normal including 24hrs urinary VMA, serum adrenalin and noradrenalin except ultrasonography of whole abdomen which showed