Suprarenal Mass with Hypertension: A Diagnostic Dilemma

Abstract

Suprarenal mass with hypertension points towards endocrine etiology like phaeochromocytoma,primary aldosteronism and cushing’s disease. Here we report a 50 year old female who presented with adrenal mass and hypertension. On radiology and histopathology, she was reported as having benign adrenal myelolipoma. Her pre-operative and post-operative vanillylmandelic acid in 24 hrs urine were within normal limits. Rarely adrenal myelolipoma can be associated with catecholamine secretion. This case is reported here to highlight the importance of good clinical workup when faced with the diagnostic dilemma of a functional adrenal myelolipoma or pheochromocytoma as a differential to suprarenal mass associated with hypertension along with brief review of few rare case reports.