An unusual case of abdominal pains

• Published in: BMJ case reports Vol. 2017; p. bcr-2017-219493
• Main Authors: Tahir, Muhammad Hassan, Ibrahim, Mohammad Y, Kumar, Naresh, Mohan, Vinuta
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 23.06.2017; BMJ Publishing Group
• Subjects: Abdomen; Abdominal Pain - diagnostic imaging; Abdominal Pain - etiology; Adrenal Gland Neoplasms - complications; Adrenal Gland Neoplasms - diagnostic imaging; Adrenal Gland Neoplasms - surgery; Adrenal glands; Adrenalectomy; Black; Case reports; Family medical history; Flank Pain - diagnostic imaging; Flank Pain - etiology; Humans; Hypertension; Images In; Magnetic Resonance Imaging; Male; Middle Aged; Neuroendocrine tumors; Pain; Patients; Pheochromocytoma - complications; Pheochromocytoma - diagnostic imaging; Pheochromocytoma - surgery; Tomography, X-Ray Computed; Treatment Outcome; USA/Canada; adrenal disorders; medical management; endocrine cancer
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2017-219493

Description A 55-year-old African American man presented to the emergency room with 3days of new-onset right-sided flank and abdominal pains. The pains were associated with mild nausea and vomiting but he denied diarrhoea, constipation, weight loss, fevers or other associated symptoms. Figure 1; Non-contrast CT abdomen axial view shows a hypodense solid 5.2 cm×4.2 cm right adrenal mass measuring 22 Hounsfield units, compressing the inferior vena cava. Patients with pheochromocytoma presenting as our patient did...