Adrenal incidentaloma caused by pheochromocytoma
Keywords:
adrenalectomy, adrenal glands, incidental findings, laparoscopy, pheochromocytomaAbstract
Introduction: Approximately, between 23 % and 61 % of cases of pheochromocytomas are diagnosed as incidentalomas and their annual incidence varies from 2-8 cases per million people.
Objective: To address the atypical presentation of an adrenal incidentaloma caused by a pheochromocytoma.
Clinical Case: A 55-year-old patient with a history of difficult-to-manage high blood pressure and diabetes mellitus presented with dyspeptic symptoms and recurrent abdominal pain of one month's duration. Abdominal ultrasound revealed a 5 cm image in the region corresponding to the left adrenal gland. A laparoscopic left adrenalectomy was performed. At follow-up, the patient remained asymptomatic, without hypertension, and with normal blood glucose levels.
Conclusions: Pheochromocytomas are a diagnostic possibility in patients with adrenal gland tumors, although they present with few symptoms.
Downloads
References
1. Vera Ochoa JF, Sánchez García AL, Aveiga Cedeño AC, Panta Freiré CR. Incidentaloma suprarrenal, enfoque diagnóstico y terapéutico: revisión de la literatura [Internet]. Journal of American Health. 2023; 6(1):76-88. DOI: 10.37958/jah.v6i1.165
2. Park SS, Kim JH. Recent Updates on the Management of Adrenal Incidentalomas [Internet]. Endocrinol Metab. 2023; 38:373-80. DOI: 10.3803/EnM.2023.1779
3. Hadjikyriacou E, Egan R. Adrenal incidentalomas [Internet]. BJS. 2022; 109:647-9. DOI: 10.1093/bjs/znac138
4. Fassnacht M, Tsagarakis S, Terzolo M, Tabarin A, Sahdev A, Newell-Price J, et al. European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors [Internet]. European Journal of Endocrinology. 2023; 189:1-42. DOI: 10.1093/ejendo/lvad066
5. Jalca Idrovo NP, Morales Jaramillo KY, Carvajal Estrada RB, Molina Chávez WS, Ramírez Egas AK. Feocromocitoma adrenal izquierdo. Reporte de caso [Internet]. Ciencia Latina. 2024; 8(2):2593-601. DOI: 10.37811/cl_rcm.v8i2.10696
6. Corral de la Calle MA, Encinas de la Iglesia J, Fernández-Pérez GC, Repollés Cobaleda M, Fraino A. Feocromocitoma adrenal. Claves para el diagnóstico radiológico [Internet]. Radiología. 2022; 64:348-67. DOI: 10.1016/j.rx.2022.05.003
7. Siacar-Bacarreza S, Mamani-Antonio A, Burgoa- Vargas J, Saldaña-Imaña M, Tarqui-Callisaya C, Ali-Poma M et al. Tumor de células cromafines: Feocromocitoma [Internet]. Revista Cuadernos. 2022 [acceso: 21/08/2024]; 63(2):57-61. Disponible en: http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S1652-67762022000200008
8. Jurado-Gómez DA, Pineda-Garcés C, Fernando Arias L, Gutiérrez-Montoya JI. Feocromocitoma adrenal gigante derecho. Reporte de un caso [Internet]. Rev Colomb Cir. 2022; 37:511-7. DOI: 10.30944/20117582.905
9. Sánchez-Sosa JA, Peiger-Flores BM. Feocromocitoma. Una causa inusual de angina [Internet]. Acta Med Colomb. 2024; 49(1):1-4. DOI: 10.36104/amc.2024.2904
10. Céspedes-Morón M, Camargo-Román R, Rodríguez-Gutarra N, Mispireta-Castañeda A. Feocromocitoma: enfoque multidisciplinario, consideraciones perioperatorias. Un reporte de caso [Internet]. Rev Fac Med Hum. 2021; 21(3):674-80. DOI: 10.25176/RFMH.v21i3.3923
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Karel Borroto Martínez, Yoanna Ramírez Fernández, Vianka Calás Hechavarría, Manuel Alejandro Ceballos Rojas

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.