title: Bilateral adrenal incidentalomas: a case report and review of diagnostic challenges.
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.
authors: Division of Endocrinology, Regions Hospital, University of Minnesota Medical School, 401 Phalen Boulevard, Saint Paul, MN 55130, USA.
authors: Anders L
authors: AL
authors: Carlson
authors: Annis M
authors: AM
authors: Marney
authors: Scott R
authors: SR
authors: Anderson
authors: Matthew P
authors: MP
authors: Gilbert
references: Science. 1993 May 28;260(5112):1317-20
references: 8493574
references: N Engl J Med. 1991 Apr 18;324(16):1119-27
references: 2008185
references: N Engl J Med. 2007 Feb 8;356(6):601-10
references: 17287480
references: Surgery. 1998 Dec;124(6):1115-22
references: 9854592
references: J Clin Endocrinol Metab. 1992 Mar;74(3):685-9
references: 1311000
references: J Clin Endocrinol Metab. 1998 Jan;83(1):55-62
references: 9435416
references: Endocr Rev. 1995 Aug;16(4):460-84
references: 8521790
references: Clin Endocrinol (Oxf). 1999 Mar;50(3):343-6
references: 10435060
references: Endocr Pract. 2009 Jul-Aug;15 Suppl 1:1-20
references: 19632967
references: Horm Res. 1997;47(4-6):279-83
references: 9167965
references: Ann Intern Med. 1994 Mar 15;120(6):485-7
references: 8311371