PMC5697587_01
CT abdomen with contrast:heterogeneous, 6.4 cm x 4.9 cm x 4.8 cm right adrenal mass (red arrow).
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A computed tomography scan of the abdomen and pelvis with contrast (Figure 1) revealed a heterogeneous 6.4 cm x 4.9 cm x 4.8 cm right adrenal mass, but without definitive etiology of his left-sided abdominal pain.
(a) Cafe au lait macules on trunk, neck, and face; (b) Lisch nodule within the iris (red arrow); and (c) gross surgical specimen:right adrenal pheochromocytoma.
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Physical exam was pertinent for cafe au lait macules scattered on the arms, face, and trunk (Figure 2(a)) in addition to small neurofibromas on his abdomen, arms, and back which have been present since childhood. Lisch nodules (Figure 2(b)). Labs, imaging, and history were consistent with pheochromocytoma. The patient underwent an uncomplicated robotic-assisted right adrenalectomy with surgical specimen shown (Figure 2(c)) and pathology confirming encapsulated pheochromocytoma.