37-years old female referred to General surgery for treatment of a large right adrenal tumor. Mass was detected 2 years ago through CT scan done for GI symptoms. Further follow-up was done until this time. Patient reports intermittent bilateral flank pain, night sweats, and palpitations and hypertension crisys. Pertinent laboratory values included elevated urine metanephrine, urine normetanephrine serum normetanephrine and serum metanephrine CT scan showed a 7.3 X 5.9 cm right adrenal mass that appears to be of soft tissue density with enhancement and rapid washout, suggestive of a pheochromocytoma. We performed a laparoscopic right adrenalectomy (operation time: 42 minutes). Her surgery and postoperative course were uneventful and she was discharged on postoperative day 2. Pathology showed a 7.4 cm right adrenal pheochromocytoma with margins free of tumor. Repeat blood and urine work up one month after surgery revealed normal urine metanephrine, normetanephrine, serum metanephrine and normetanephrine.
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