title: Case Report: A giant but silent adrenal pheochromocytoma - a rare entity.
abstract: Herein we report a rare entity of a giant adrenal pheochromocytoma in a fifty-year-old male presenting with a vague abdominal pain. A computerised tomogram of the abdomen revealed a well-defined  left supraadrenal giant lesion with no evidence of invasion to surrounding structures.The patient underwent surgical excision without any untoward postoperative events. Histopathological study revealed a benign pheochromocytoma. This report highlights the importance of acknowledging the fact that sometimes a giant adrenal pheochromocytoma can present with paucity of clinical  signs and symptoms.Thorough investigations and a multidisciplinary team approach may lead  to a better outcome in these patients.
authors: Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
authors: Sunil
authors: S
authors: Munakomi
authors: Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
authors: Saroj
authors: S
authors: Rajbanshi
authors: Department of General Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
authors: Prof Shailesh
authors: PS
authors: Adhikary
keywords: Giant; benign; pheochromocytoma; silent