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Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report

  • Santiago Muñoz-Palomeque*
  • , William Aguayo-Vistin
  • , Gabriel A. Molina
  • , Zanny Bastidas-Arévalo
  • , Jaime Paul Herrera Gonzalez
  • , Christian I. Gordon
  • *Corresponding author for this work
  • Universidad Internacional del Ecuador
  • Hospital Metropolitano
  • Hospital General San Francisco

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Compound pheochromocytoma refers to a rare adrenal tumor that includes neuroblastic components and is a rare catecholamine-producing tumor from chromaffin cells, typically found in the adrenal medulla. It usually presents with symptoms like tachycardia, headache, and intermittent diaphoresis, although its clinical manifestations can vary. Diagnosis involves biochemical studies and imaging such as catecholamines, metanephrines, CT scans, and positron emission tomography (PET). The surgical management is the definitive, being the laparoscopic approach of choice in most cases. This case report discusses a 45-year-old male who presented with tachycardia and palpitations, diagnosed with left pheochromocytoma exhibiting neuroblastoma differentiation, surgically treated through anterior laparoscopy without any trans-surgical complications and with low bleeding. Postoperative recovery was uneventful, and pathology confirmed the diagnosis. Timely diagnosis and surgical removal are crucial, with laparoscopy being the preferred approach for tumor resection.

Original languageEnglish
Article numberrjae731
JournalJournal of Surgical Case Reports
Volume2024
Issue number11
DOIs
StatePublished - 1 Nov 2024

Keywords

  • adrenal gland neoplasms
  • complex and mixed paraganglioma
  • neoplasms
  • neuroblastoma
  • pheochromocytoma

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