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Carlson AL, Marney AM, Anderson SR, et al. Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges. Case Rep Endocrinol. 2013;2013:953052doi: 10.1155/2013/953052.
Carlson, A. L., Marney, A. M., Anderson, S. R., & Gilbert, M. P. (2013). Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges. Case reports in endocrinology, 2013953052. https://doi.org/10.1155/2013/953052
Carlson, Anders L, et al. "Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges." Case reports in endocrinology vol. 2013 (2013): 953052. doi: https://doi.org/10.1155/2013/953052
Carlson AL, Marney AM, Anderson SR, Gilbert MP. Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges. Case Rep Endocrinol. 2013;2013:953052. doi: 10.1155/2013/953052. Epub 2013 Jan 17. PMID: 23401807; PMCID: PMC3562608.
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Case Rep Endocrinol. 2013;2013:953052. doi: 10.1155/2013/953052. Epub 2013 Jan 17.

Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges.

Case reports in endocrinology

Anders L Carlson, Annis M Marney, Scott R Anderson, Matthew P Gilbert

Affiliations

  1. Division of Endocrinology, Regions Hospital, University of Minnesota Medical School, 401 Phalen Boulevard, Saint Paul, MN 55130, USA.

PMID: 23401807 PMCID: PMC3562608 DOI: 10.1155/2013/953052

Abstract

Incidentally discovered adrenal masses (incidentalomas) are common and present challenges both in diagnosis and management. When incidentally discovered adrenal masses are bilateral, a refined diagnostic approach is warranted since bilateral disease is more likely to be pathologic. We review a case of a 34-year-old man with incidentally discovered bilateral adrenal nodules. A comprehensive diagnostic strategy led to the diagnosis of bilateral pheochromocytoma caused by von Hippel-Lindau syndrome. He was successfully treated with bilateral laparoscopic adrenalectomy and has recovered well. While the initial diagnostic approach is similar to the unilateral incidentaloma, additional testing and/or genetic testing should be considered in the case of the bilateral adrenal mass.

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