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Case Reports in Endocrinology
Volume 2013, Article ID 953052, 4 pages
Case Report

Bilateral Adrenal Incidentalomas: A Case Report and Review of Diagnostic Challenges

1Division of Endocrinology, Regions Hospital, University of Minnesota Medical School, 401 Phalen Boulevard, Saint Paul, MN 55130, USA
2Division of Endocrinology, Diabetes and Metabolism, The University of Vermont College of Medicine, Burlington, VT 05401, USA
3Department of Pathology and Laboratory Science, The University of Vermont College of Medicine, Burlington, VT 05401, USA

Received 6 December 2012; Accepted 30 December 2012

Academic Editors: M. T. Garcia-Buitrago, T. Kita, and T. Usui

Copyright © 2013 Anders L. Carlson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Incidentally discovered adrenal masses (incidentalomas) are common and present challenges both in diagnosis and management. When incidentally discovered adrenal masses are bilateral, a refined diagnostic approach is warranted since bilateral disease is more likely to be pathologic. We review a case of a 34-year-old man with incidentally discovered bilateral adrenal nodules. A comprehensive diagnostic strategy led to the diagnosis of bilateral pheochromocytoma caused by von Hippel-Lindau syndrome. He was successfully treated with bilateral laparoscopic adrenalectomy and has recovered well. While the initial diagnostic approach is similar to the unilateral incidentaloma, additional testing and/or genetic testing should be considered in the case of the bilateral adrenal mass.