DOI: 10.36347/sasjs.2024.v10i05.008

Pages: 562-566

Adrenal tumours are rare. We report a case of left adrenal pheochromocytoma in a 44-year-old patient. Arterial hypertension associated with headache, sweating and palpitations led to the diagnosis of pheochromocytoma. Biological work-up based on urinary measurement of methoxylated derivatives confirmed this diagnosis. Ultrasound and CT scan revealed a large left adrenal mass with a tissue structure. The mass was discreetly enhanced after injection of the contrast medium. Given this clinical, biological and morphological picture, the diagnosis of adrenal pheochromocytoma was accepted. A left subcostal adrenalectomy was therefore performed. Anatomopathological examination revealed the presence of a pheochromocytoma on the left adrenalectomy specimen, with a tumour classified as preocupant for malignancy according to the PASS score (≥4). Postoperative follow-up was good, with no recurrence.