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Updated: Jun 28, 2026

A Novel Method: Super-selective Adrenal Venous Sampling

A Novel Method: Super-selective Adrenal Venous Sampling

Published on: September 15, 2017

Nonfunctioning adrenocorticalcarcinoma.

G Bakthavathsalam¹, V P Shanmugasundaram, J Prabakaran

¹Department of General Surgery, K G Hospital, Coimbutore, India.

International Surgery

|November 13, 2008

Summary

Adrenal incidentalomas are common, especially in older adults. This case highlights a rare nonfunctioning adrenocortical carcinoma presenting as deep vein thrombosis.

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Area of Science:

Endocrinology
Oncology
Radiology

Background:

Adrenal incidentalomas, clinically inapparent adrenal masses, are increasingly detected via imaging for nonadrenal conditions.
Their prevalence rises with age, reaching up to 10% in the elderly.
While often benign, adrenal masses represent a significant proportion of human tumors.

Observation:

A 30-year-old male presented with deep vein thrombosis in his left leg.
The deep vein thrombosis was found to be secondary to a nonfunctioning adrenocortical carcinoma.
This case underscores the potential for adrenal masses to manifest with unexpected clinical symptoms.

Findings:

The patient had a nonfunctioning adrenocortical carcinoma, a rare but serious adrenal malignancy.
The adrenal carcinoma was the underlying cause of the deep vein thrombosis.
This presentation is unusual for a nonfunctioning adrenal tumor.

Implications:

Adrenal incidentalomas require careful evaluation due to their potential for malignancy.
Unexplained thromboembolic events may warrant investigation for underlying adrenal pathology.
This case emphasizes the importance of considering adrenal tumors in the differential diagnosis of venous thromboembolism.