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Special Feature
June 01, 2007

Image of the Month—Quiz Case

Author Affiliations

Author Affiliations:Department of Surgery, University of Texas Medical School at Houston.




Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Surg. 2007;142(6):569. doi:10.1001/archsurg.142.6.569

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.

Image not available

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.

What Is the Diagnosis?

A. Renal cell carcinoma

B. Pheochromocytoma

C. Neuroblastoma

D. Adrenocortical carcinoma