Summary:
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 a