A Case of Bilateral Adrenal Masses due to Tuberculosis.
- Author:
Jong Myung HONG
1
;
Jong Un EUN
;
Dong Seok KI
;
Tae Kyu KIM
Author Information
1. Departments of Urology, Kang Nam General Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Adrenal gland;
Tuberculosis
- MeSH:
17-Ketosteroids;
Adrenal Glands;
Adrenal Insufficiency;
Biopsy, Needle;
Drug Therapy;
Follow-Up Studies;
Humans;
Hydrocortisone;
Hydroxycorticosteroids;
Plasma;
Rare Diseases;
Tomography, X-Ray Computed;
Tuberculosis*
- From:Korean Journal of Urology
1994;35(5):566-569
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bilateral adrenal tuberculosis is a rare disease and often occurs bilaterally. We report a case of bilateral adrenal masses due to tuberculosis with adrenal insufficiency. The patient was a 39- year-old man who had complained of intermittent pain of right upper quadrant and general weakness. The plasma levels of cortisol and catecholamine were normal. The levels of 24-hour urinary catecholamine and VMA were also normal. But the levels of 24-hour urinary 17- hydroxycorticosteroids and 17-ketosteroids were reduced. Abdominal CT showed about 6.5 x4.8 x 5.4cm sized left adrenal mass and 4.0 x 2.8 x 3.6cm sized right adrenal mass with calcification. The result of sono-guided percutaneous needle biopsy was adrenal tuberculosis. The patient was treated with antituberculous chemotherapy and hormonal replacement. But the masses are unchanged during 5-months follow-up.