A 26-year-old woman was admitted to our hospital, a few months after giving birth to her second child, with a history of new-onset uncontrolled hypertension and diabetes diagnosed during her second pregnancy. The patient underwent early induction of her labor because her symptoms were thought to be secondary to preeclampsia. After delivery, the patient continued to have severe hypertension and hyperglycemia not controlled by maximum antihypertensive and glucose-control medications. A magnetic resonance image was obtained (Figure). The patient underwent exploratory laparotomy with right adrenalectomy and oophorectomy.
Magnetic resonance images. A, Transverse view of the abdomen showing a right-sided mass. B, Coronal view of the intra-abdominal mass with questionable liver invasion.
A. Renal cell carcinoma
D. Adrenocortical carcinoma
Moore-Olufemi SD, Cheng A, Vercruysse GA. Image of the Month—Quiz Case. Arch Surg. 2007;142(6):569. doi:10.1001/archsurg.142.6.569