UNIQUE CASE OF BILATERAL ADRENAL PHEOCHROMOCYTOMAS: DIAGNOSTIC APPROACH

Abstract

Pheochromocytoma is a neuroendocrine tumor arising from the adrenal medulla. Paragangliomas also originate from neural crest tissue but outside the adrenal gland. The presence of Bilateral adrenal masses is a unique and reportable event. Bilaterality is a treatment dilemma for a clinician whether to operate or not, keeping in mind that it can render patients with life threatening complications, perioperative mortality, and the potential burden of life long medications in some cases. We present a unique case of 28 years old female who presented with left lumbar pain, occasional headaches in her twenties followed by spells of uncontrolled hypertension during pregnancy, referred in post-partum period following a successful pregnancy to urology with suspicion of bilateral adrenal masses ending up with histopathology and immunocytochemistry confirming the diagnosis of Bilateral Adrenal Pheochromocytoma