Female patient 21 yo detected high blood pressure of 17/10 cmHg.
Ultrasound of abdomen detected one mass at upper pole of left kidney with size of 3.5 cm. This mass covers left border of aorta, left renal hilum and adrenal fossa (US 1, US 2, US 3).
MSCT with CE= CT 1, CT 2, CT 3, CT 4 (3D vascular)= this tumor covers the hilar kidney, very high CE enhancement. Radiologist says adrenal tumor.
Blood test=catecholamine blood and 24 hrs urine analysis detected not abnormal
Metanephrine blood =102 unit (n= 90), in urine = low 42 unit.
Operation by laparotomy=
Picture 1= this tumor covers the left renal hilum.
Picture 1= this tumor covers the left renal hilum.
Picture 2= Nephrectomy with tumor specimen.
