Contributed by N. Paul Ohori, M.D. and Sydney D. Finkelstein, M.D.
Published on line in August 1996
PATIENT HISTORY :
This 27 year-old white man had an unremarkable medical history until 6 months prior to admission when he was found to have hypertension which was unresponsive to medical therapy. Three weeks prior to admission he developed bilateral gynecomastia and more recently, he began experiencing very severe right flank pain while on the job. Sonogram and Computerized Tomography revealed an adrenal mass which also appeared to extend into the inferior vena cava at the level of the right adrenal gland just below the hepatic vein. Resection was performed.