Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report

A case of a 62-year-old male presenting with persistent abdominal pain and hypertension is reported. Upon admission, elevated urinary vanillylmandelic acid and homovanillic acid levels were noted. Imaging revealed an 8.2 cm left adrenal mass, initially suspected as pheochromocytoma. Laparoscopic res...

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Published in:Urology Case Reports
Main Authors: Ziye Huang, Yuyun Wu, Wen Mei, Guang Wang, Chaohua Deng
Format: Article
Language:English
Published: Elsevier 2025-11-01
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025002529
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author Ziye Huang
Yuyun Wu
Wen Mei
Guang Wang
Chaohua Deng
author_facet Ziye Huang
Yuyun Wu
Wen Mei
Guang Wang
Chaohua Deng
author_sort Ziye Huang
collection DOAJ
container_title Urology Case Reports
description A case of a 62-year-old male presenting with persistent abdominal pain and hypertension is reported. Upon admission, elevated urinary vanillylmandelic acid and homovanillic acid levels were noted. Imaging revealed an 8.2 cm left adrenal mass, initially suspected as pheochromocytoma. Laparoscopic resection was performed. Pathology confirmed adrenal cavernous hemangioma (CD31/CD34+). The preoperative misdiagnosis resulted from the tumor's clinical features (hypertension, elevated catecholamine metabolites) and imaging characteristics mimicking pheochromocytoma. Conclusion: Adrenal cavernous hemangioma is susceptible to preoperative misdiagnosis. Surgery provides definitive diagnosis and treatment.
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spelling doaj-art-d7db23bd7f2e490f84a45df2d30fbd832025-09-13T06:12:15ZengElsevierUrology Case Reports2214-44202025-11-016310318110.1016/j.eucr.2025.103181Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case reportZiye Huang0Yuyun Wu1Wen Mei2Guang Wang3Chaohua Deng4The Second Affiliated Hospital of Kunming Medical University, Kunming, China; Corresponding author.The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaThe People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, ChinaThe Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaThe People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, China; Corresponding author.A case of a 62-year-old male presenting with persistent abdominal pain and hypertension is reported. Upon admission, elevated urinary vanillylmandelic acid and homovanillic acid levels were noted. Imaging revealed an 8.2 cm left adrenal mass, initially suspected as pheochromocytoma. Laparoscopic resection was performed. Pathology confirmed adrenal cavernous hemangioma (CD31/CD34+). The preoperative misdiagnosis resulted from the tumor's clinical features (hypertension, elevated catecholamine metabolites) and imaging characteristics mimicking pheochromocytoma. Conclusion: Adrenal cavernous hemangioma is susceptible to preoperative misdiagnosis. Surgery provides definitive diagnosis and treatment.http://www.sciencedirect.com/science/article/pii/S2214442025002529Adrenal cavernous hemangiomaPheochromocytomaMisdiagnosis
spellingShingle Ziye Huang
Yuyun Wu
Wen Mei
Guang Wang
Chaohua Deng
Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
Adrenal cavernous hemangioma
Pheochromocytoma
Misdiagnosis
title Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
title_full Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
title_fullStr Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
title_full_unstemmed Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
title_short Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report
title_sort adrenal cavernous hemangioma misdiagnosed as pheochromocytoma a case report
topic Adrenal cavernous hemangioma
Pheochromocytoma
Misdiagnosis
url http://www.sciencedirect.com/science/article/pii/S2214442025002529
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AT guangwang adrenalcavernoushemangiomamisdiagnosedaspheochromocytomaacasereport
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