PMC10214942_01
The representative axial images of contrast enhanced CT scan showing mass in the right adrenal gland (A) and left adrenal gland (B)
PEDM-27-42735-g001.jpg
PMC10214942_01_PEDM-27-42735-g001.jpg
F1
Given the persistence of abdominal pain, vomiting and fever with an altered general state, we completed by an abdominal CT which objectified multiple bilateral adrenal masses: well circumscribed 2 masses measuring respectively 28*26*31 and 27*20*25 mm in the right adrenal gland and 2 other masses measuring respectively 10*10*13 and 17,5*12*16 mm in the left one (Figures 1, 2 and 3).
Total surgical resection of the right adrenal (A). Subtotal adrenal resection on the left side (B). Notice the loss of the normal shape of the adrenals with multi-lobed appearance
PEDM-27-42735-g002.jpg
PMC10214942_01_PEDM-27-42735-g002.jpg
F2
Given the persistence of abdominal pain, vomiting and fever with an altered general state, we completed by an abdominal CT which objectified multiple bilateral adrenal masses: well circumscribed 2 masses measuring respectively 28*26*31 and 27*20*25 mm in the right adrenal gland and 2 other masses measuring respectively 10*10*13 and 17,5*12*16 mm in the left one (Figures 1, 2 and 3). Our patient underwent surgery two months after the first consultation; he had a total adrenalectomy on the right side and subtotal on the left side (Figures 2 and 3).