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Adrenal incidentaloma: A case of pheochromocytoma with sub-clinical Cushing's syndrome.
[adrenal incidentaloma]
Adrenal
incidentalomas
(
AIs
)
are
a
cluster
of
different
pathologies
,
but
AIs
with
dual
functional
aspects
are
very
rare
.
We
report
a
case
of
AI
with
the
evidence
of
both
pheochromocytoma
and
sub-clinical
Cushing
's
syndrome
.
A
42
-
year
-old
female
patient
presented
with
the
history
of
abdominal
pain
.
Abdominal
computed
tomography
revealed
right
adrenal
mass
suggestive
of
pheochromocytoma
.
On
endocrine
evaluation
,
she
admitted
history
of
intermittent
headache
and
palpitations
for
4
years
and
was
on
treatment
for
hypertension
and
diabetes
.
There
were
no
signs
and
symptoms
suggestive
of
Cushing
's
syndrome
.
The
laboratory
data
demonstrated
10
times
raised
24
-
h
urinary
fractionated
metanephrines
with
non-suppressible
serum
cortisol
after
2
-
day
low
-dose
dexamethasone
suppression
test
.
She
underwent
right
-sided
adrenalectomy
with
subsequent
resolution
of
both
pheochromocytoma
and
hypercortisolism
.
Patient
was
discharged
in
good
clinical
condition
.
