This case involves a 45-year-old woman who presented with an incidentally detected left adrenal mass and no specific clinical symptoms
Headache (-) hypertension (-) palpitation (-) weakness (+) sweating (-) moon face (-) buffalo hump (-) weight gain (-) purple striae (-)
Laboratory evaluation demonstrated elevated plasma metanephrine levels. The patient was admitted for adrenalectomy, and phenoxybenzamine was initiated for preoperative alpha-adrenergic blockade. However, she experienced episodes of hypotension unresponsive to fluid resuscitation, and the medication was therefore discontinued. Considering her stable blood pressure, the surgical team decided to proceed with adrenalectomy without alpha blockade.Laparoscopic adrenalectomy was performed successfully without intraoperative complications or significant fluctuations in blood pressure. The patient’s postoperative recovery was smooth and uneventful. Histopathological examination of the resected adrenal mass revealed a schwannoma, a rare benign tumor arising from Schwann cells
Mehdi Dadpour, MD, MPH
Assistant professor of Urology
Mahyar Najarian, MD
Resident of Urology