Details

Autor(en) / Beteiligte

• Gupta, Sheila R
• Ghayee, Hans K

Titel

Vanishing Adrenal Mass in Pregnancy

Ist Teil von

• AACE clinical case reports, 2021, Vol.7 (1), p.72-74

Erscheinungsjahr

2021

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• OBJECTIVESThe evaluation of an adrenal mass is challenging. We present the case of a 33-year-old pregnant woman who was found to have an adrenal incidentaloma. Four months after the initial imaging, the mass vanished. METHODSWe described the case of a pregnant woman with hypertension and an incidentally found right adrenal mass. RESULTSA magnetic resonance imaging scan showed a right adrenal mass measuring 7.9 × 3.9 × 3.0 cm with a multilobulated appearance. Initial biochemical testing was concerning for a pheochromocytoma with positive metanephrines during hospitalization while being treated for an infection. Repeat outpatient adrenal hormone results, including metanephrines, were negative. Four months after her initial magnetic resonance imaging scan, the right adrenal mass was no longer present. CONCLUSIONA 33-year-old pregnant woman was found to have a right adrenal mass that later vanished as a result of the resolution of a unilateral adrenal hemorrhage. Predisposing factors to adrenal hemorrhage in the presented case include pregnancy, infection, and hypertension.