A CASE OF INCIDENTALLY DETECTED LEFT ADRENAL PHEOCHROMOCYTOMA IN AN ELDERLY MALE WITH HYPERTENSION, DIABETES, AND CKD

Authors

  • Dr Khadka Ravi Roshan MBBS, MS Associate Professor Faculty of International Students, Asia International University

Keywords:

Pheochromocytoma, adrenal incidentaloma, hypertension, laparoscopic adrenalectomy

Abstract

Pheochromocytoma is a rare catecholamine-secreting tumor of the adrenal medulla that often presents with hypertension and variable systemic manifestations. We report a case of a 71-year-old male with long-standing hypertension and recently diagnosed diabetes mellitus, in whom a left adrenal mass was incidentally detected during evaluation for chronic kidney disease. Biochemical evaluation revealed markedly elevated 24-hour urinary metanephrines, confirming the diagnosis of pheochromocytoma. The patient underwent successful laparoscopic left adrenalectomy following appropriate preoperative preparation. Postoperatively, his blood pressure and glycemic control improved significantly, and renal function showed partial recovery. This case highlights the importance of considering pheochromocytoma in incidentally detected adrenal masses, especially in patients with resistant hypertension.

Downloads

Download data is not yet available.

References

Lenders JWM, Eisenhofer G, Mannelli M, Pacak K. Phaeochromocytoma. Lancet. 2005;366(9486):665–75.

Young WF Jr. Clinical practice. The incidentally discovered adrenal mass. N Engl J Med. 2007;356(6):601–10.

Pacak K. Preoperative management of the pheochromocytoma patient. J Clin Endocrinol Metab. 2007;92(11):4069–79.

Bravo EL, Tagle R. Pheochromocytoma: state-of-the-art and future prospects. Endocr Rev. 2003;24(4):539–53.

Lenders JWM, Duh QY, Eisenhofer G, et al. Pheochromocytoma and paraganglioma: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2014;99(6):1915–42.

Holzheimer RG, Mannick JA. Surgical treatment: evidence-based and problem-oriented. Munich: Zuckschwerdt; 2001.

Scholz T, Eisenhofer G, Pacak K, et al. Clinical outcome of malignant pheochromocytoma. J Clin Endocrinol Metab. 2007;92(2):545–51.

Namimoto T, Yamashita Y, Mitsuzaki K, et al. Adrenal masses: quantification of fat content with chemical shift MRI. Radiology. 2001;218(3):757–65.

Timmers HJ, Taieb D, Pacak K. Current and future imaging approaches to pheochromocytoma and paraganglioma. Horm Metab Res. 2012;44(5):367–72.

Downloads

Published

2026-01-17

How to Cite

Dr Khadka Ravi Roshan. (2026). A CASE OF INCIDENTALLY DETECTED LEFT ADRENAL PHEOCHROMOCYTOMA IN AN ELDERLY MALE WITH HYPERTENSION, DIABETES, AND CKD. Journal of Applied Science and Social Science, 16(01), 341–346. Retrieved from https://www.internationaljournal.co.in/index.php/jasass/article/view/2978