Presentation
Tachycardia, persistent hypertension, high serum norepinephrine, high urinary metanephrine and urinary vanillylmandelic acid (VMA).
Patient Data
Age: 30 years
Gender: Female
From the case:
Pheochromocytoma
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A well circumscribed almost ovoid soft-tissue attenuation lesion is seen, centered on the right suprarenal gland. It measures 3 x 2.8 x 2.3 cm. The lesion displays intense contrast enhancement with small areas of necrosis & cystic change. Diffuse subcutaneous fat stranding and nodularity are seen within the gluteal regions bilaterally, likely related to a previous cosmetic procedure.
Case Discussion
Adrenal pheochromocytoma most frequently arise from the chromaffin cells of the adrenal medulla.