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 .

Diseases
Validation

Diseases presenting "abdominal pain" symptom

22q11.2 deletion syndrome

adrenal incidentaloma

alpha-thalassemia

benign recurrent intrahepatic cholestasis

carcinoma of the gallbladder

child syndrome

cholangiocarcinoma

congenital diaphragmatic hernia

cushing syndrome

cutaneous mastocytosis

cystinuria

dedifferentiated liposarcoma

erdheim-chester disease

erythropoietic protoporphyria

fabry disease

familial hypocalciuric hypercalcemia

familial mediterranean fever

focal myositis

liposarcoma

lymphangioleiomyomatosis

malignant atrophic papulosis

pleomorphic liposarcoma

primary effusion lymphoma

primary hyperoxaluria type 1

proteus syndrome

scrub typhus

sneddon syndrome

systemic capillary leak syndrome

typhoid

von hippel-lindau disease

well-differentiated liposarcoma

This symptom has already been validated