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Hyun Chul Cho 1 Article
Adrenal incidentaloma: a case of asymptomatic pheochromocytoma
Sang Yoong Park, Jong Cheol Rim, Hyun Chul Cho, Yoon Chan Lee, Jung A Kim, So Ron Choi
Kosin Med J. 2018;33(2):215-222.   Published online December 31, 2018
DOI: https://doi.org/10.7180/kmj.2018.33.2.215
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM

An incidentaloma is a tumor found incidentally without clinical symptoms or suspicion; the lesion may be adrenal, pituitary, or thyroidal. We report the case of an asymptomatic individual with preoperatively undiagnosed pheochromocytoma (size: 4.86 cm) that was revealed using elective nonadrenal surgical procedures. The patient demonstrated peri- and post-operative hypertensive crisis and tachycardia. Three days after the dramatic onset of symptoms, the patient expired due to pulmonary edema, multiple organ failure, and terminal sepsis, despite administration of extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation. A left medial kidney mass obtained at autopsy confirmed pheochromocytoma.


KMJ : Kosin Medical Journal