ea0013p50 | Clinical practice/governance and case reports | SFEBES2007
Owen Penelope
, Coombes David Scott
, Gill Ben Hope
, Davies Stephen
, Scanlon Maurice
, Rees Aled
A 67 year old female presented with hypertension, oedema and cough. A CT scan of her abdomen showed an enlarged left adrenal gland. Urinary free cortisols were grossly elevated and low dose dexamethasone suppression testing confirmed Cushings Syndrome. 24 hour catecholamines were also elevated consistent with a diagnosis of phaeochromocytoma. ACTH levels were high (690 pg/ml) but pituitary MRI was normal. She was commenced on alpha and beta blockade in preparation for su...