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Introduction of a Case of Bilateral Pheochromocytoma Tumor

Summary: Pheochromocytoma is an adr enal tumor characterized by symptoms of hypertension, headache, increased sweating, and tachycardia .In one third of pati ent s, the tumor is discovered incidentally durin g radiologi cal evaluation of the abdomen . In this arti cle a case of bilateral pheochromocytoma is reported. The patient, a twelve years old boy , referred with comp laint s of headache, flushing, palpitation and blurring of vision. He had a blood pressure of 2001120 mmHg and after investigation, coarctation of aorta was excluded. On abdominal ultrasound, bilateral adrenal mass was diagnosed, followed by serial measurements of urinary vanillyl mandellic acid (VMA) which wa s found to be elevated. Meta- Iodio benzyl glunidin (MIBG) scan showed increased uptake in both adrenals. Patient underwent laparotomy and bilateral adrenalectomy with the diagnosis ofpheochromocytoma. Pathologic report confirmed the diagnosis.