Adrenal Pseudocyst Mimicking a Pheochromocytoma Found after a Traffic Accident

Autor: Kimiko Ota, Akemi Inagaki, Toyonori Tsuzuki, Hidetaka Suga, Seiko Taguchi, Tomoko Kato, Keisuke Yokoi, Takeharu Itatsu, Satoshi Kakiya
Rok vydání: 2003
Předmět:
Zdroj: Internal Medicine. 42:66-71
ISSN: 1349-7235
0918-2918
Popis: We report a case of adrenal pseudocyst difficult to differentiate from pheochromocytoma. A right adrenal mass was found in a 41-year-old man after a traffic accident. Plasma level of renin was low, plasma level of aldosterone, and urine levels of aldosterone and catecholamines were high. Dynamic tests for primary aldosteronism and pheochromocytoma were negative. Noabnormal uptake was shown in 131I-adosterol or 131I-MIBG scintigram. Adrenal venous sampling presented high levels of catecholamines. Laparoscopic adrenalectomy was performed. Histological examination revealed a pseudocyst with a thick fibrocollagenous wall. Wediscuss the mechanism of high catecholamine levels in the right adrenal vein.(Internal Medicine 42: 66-71, 2003)
Databáze: OpenAIRE