A Young Man with a Rare Case of Adrenal Incidentaloma | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2021]

Author(s):

1. Usama Bin Khalid: Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan

2. Qurat Ul Ain: Department of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan

3. Zujaja Hina Haroon: Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology,Rawalpindi,Pakistan

4. Muhammad Aamir: Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology,Rawalpindi,Pakistan

5. Shakeel Ahmad: Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology,Rawalpindi,Pakistan

6. Shahrukh Shah: Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology,Rawalpindi,Pakistan

Abstract:

Adrenal incidentalomas (AIs) are adrenal masses discovered as incidental nding, often on imaging studies, unrelated to adrenal disorders. Sometimes, they are discovered as part of work-up for adrenal pathology. AIs are mostly nonfunctional (hormonally silent), but can also be functional (hormonally active). The di erential diagnosis includes many primary, metastatic, benign and malignant conditions. The current case is a young male, who went to a peripheral health facility with complaints of dysuria and burning micturition. His laboratory and radiological investigations suggested a urinary tract infection with an incidental nding of adrenal mass. After referral, his detailed work-up was done at Endocrine Clinic of Armed Forces Institute of Pathology (AFIP), Rawalpindi, which revealed history of episodic headaches and palpitations with paroxysmal spikes of high blood pressure up to 200/120 mmHg. Adrenalectomy was performed by laparoscopic surgery. Histopathological examination con rmed the diagnosis of pheochromocytoma with PASS score of 5/20. This is one of the rare cases of adrenal incidentaloma, often an autopsy nding. Pheochromocytoma needs to be investigated in all cases of AIs.

Page(s): 1497-1499

DOI: 10.29271/jcpsp.2021.12.1497

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 31, Issue: 12, Year: 2021

Keywords:

Urinary tract infection , Pheochromocytoma , Adrenal Incidentaloma

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