CTICasesPheochromocytoma-induced Stress Cardiomyopathy
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Imaging findings
The patient presented with flash pulmonary edema following thyroidectomy, with ground-glass opacities and septal thickening indicative of hydrostatic edema. Imaging also revealed an adrenal nodule, which was subsequently identified as a pheochromocytoma. This pheochromocytoma triggered a catecholamine surge, leading to stress-induced cardiomyopathy.
Key takeaways
Pheochromocytomas can precipitate stress-induced cardiomyopathy, mimicking acute heart failure or severe pulmonary edema. Always look for adrenal pathology in patients presenting with acute cardiogenic pulmonary edema without an obvious primary cardiac cause.
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