PMC7649416_01
Doppler echocardiography revealing left ventricular hypertrophy.
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The chest radiograph was within normal limits. Transthoracic echocardiography revealed left ventricular hypertrophy with normal systolic function and without any significant valve disease (Fig. 1).
Abdominal CT demonstrating a right adrenal mass, hypodense, heterogeneously enhancing, enclosing a liquefied area, measuring 42 x 35 mm.
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Computed tomography (CT) from thorax to pelvis revealed a right adrenal mass, hypodense, heterogeneously enhancing, enclosing a liquefied area, measuring 42 x 35 mm (Fig. 2).
CT angiogram showed thickening of the thoracoabdominal aortic wall and the proximal portions of some of its branches suggestive of aortoarteritis: stenosis of more than 50% of the origin of the celiac trunk, bilateral occlusion of the external iliac arteries.
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CT angiogram showed thickening of the thoracoabdominal aortic wall and the proximal portions of some of its branches suggestive of aortoarteritis with stenosis of more than 50% of the origin of the celiac trunk, trunk stenosis of the right renal artery, bilateral occlusion of the external iliac arteries (Fig. 3, Fig. 4).
Macroscopic aspect of the right adrenalectomy with 90 x 70 x 40 mm.
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LP 50 mg twice a day), he underwent laparoscopic right adrenalectomy without any comlications (Fig. 5). Light microscopy of the specimen revealed characteristic organoid or zellballen nest of cells confirming the diagnosis of pheochromocytoma without signs of vasculitis.