Non-invasive Cardiac Imaging Laboratory, CMR Unit, Department of Cardiology and Cardiovascular Surgery, Niguarda Ca'Granda Hospital, Milan, Italy.
J Cardiovasc Magn Reson. 2011 Jan 11;13(1):4. doi: 10.1186/1532-429X-13-4.
The clinical presentation of pheochromocytoma is variable and many biochemical and imaging methods have been suggested to improve the diagnostic accuracy of what has been termed "the great masquerader". This case-report is of a middle-aged woman with a non-specific clinical presentation suggesting acute coronary syndrome or subacute myocarditis. Cardiovascular magnetic resonance (CMR) at presentation showed myocardial edema and intramyocardial late gadolinium enhancement (LGE). An adrenal mass was seen, which was confirmed as pheochromocytoma and surgically removed. Our case shows evidence for acute adrenergic myocarditis, with resolution of both the edema and the LGE after surgical excision.
嗜铬细胞瘤的临床表现多种多样，为了提高被称为“伪装大师”的嗜铬细胞瘤的诊断准确性，人们提出了许多生化和影像学方法。本病例报告为一位中年女性，临床表现不典型，提示急性冠状动脉综合征或亚急性心肌炎。发病时心血管磁共振（CMR）显示心肌水肿和心肌内晚期钆增强（LGE）。发现肾上腺肿块，被确认为嗜铬细胞瘤并进行了手术切除。我们的病例显示存在急性肾上腺素能性心肌炎的证据，手术切除后水肿和 LGE 均消退。
