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Vanishing Adrenal Mass in Pregnancy
Sheila R Gupta1, Hans K Ghayee2
1Division of Endocrinology, Diabetes, & Metabolism, Department of Internal Medicine, Florida State University College of Medicine, Tallhassee, Florida.
A pregnant woman
Area of Science:
- Endocrinology
- Radiology
- Obstetrics
Background:
- Adrenal incidentalomas require careful evaluation, especially during pregnancy.
- Pregnancy, hypertension, and infection can predispose to adrenal complications.
Observation:
- A 33-year-old pregnant woman presented with a large right adrenal mass.
- Initial imaging revealed a 7.9 cm multilobulated adrenal mass.
- Biochemical tests were initially concerning for pheochromocytoma.
Findings:
- The adrenal mass spontaneously resolved within four months.
- Resolution was attributed to a resolving unilateral adrenal hemorrhage.
- Repeat hormone tests were negative, ruling out pheochromocytoma.
Implications:
- Adrenal hemorrhage should be considered in pregnant patients with adrenal masses.
- Spontaneous resolution of adrenal masses can occur.
- This case highlights the importance of serial imaging and biochemical testing in managing adrenal incidentalomas during pregnancy.
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