Naveen Kundilmadom Vijayan1, Niti Dalal2, Aastha Gaba3
PRESENTATION OF CASE
An 8-year-old (20 kg) male child presented with history of headache for 1.5 months. Later developed vomiting, epigastric pain and two episodes of seizure. There was no significant family history.
DIFFERENTIAL
DIAGNOSIS
As child had persistent tachycardia and hypertension with epigastric pain, our differential diagnosis included renal hypertension, pheochromocytoma, neuroblastoma and coarctation of aorta.
CLINICAL DIAGNOSIS
Child was asymptomatic 1.5 months back, then developed headache, which was associated with vomiting, epigastric pain, along with two episodes of seizure. After admission and investigation in our hospital for above complaints, child was diagnosed with right suprarenal pheochromocytoma and subjected to surgery.
On examination, child was averagely built with no pallor, icterus, cyanosis, clubbing, lymphadenopathy or oedema. There was no significant family history.
Preoperative pulse- 130/min., BP- 170/84 mmHg; On systemic examination- No significant findings.
Chest x ray- No abnormal findings. NCCT head was normal and fundus examination showed no signs of raised ICP. The MRI abdomen showed right suprarenal pheochromocytoma.
