![]() ![]() Serum levels of cortisole and aldosterone were normal. ![]() Serum and urinary catecholamines were normal. Only mild elevations of hepatic enzymes were noted. ![]() In serum biochemistry, renal function tests, electrolytes, and bilirubin were all within normal limits. In hematological examination, Hb was 11 g/dl. In abdominal examination, a scar of previous surgery in the right subcostal area ( subcostal incision) with near 15 cm length was noted. In physical examination, vital signs were normal. He experienced general weakness, fatigue, and weight loss in the last several months. The patient is a 58 years old Iraqi male that referred to our center three months after an unsuccessful operation for removing a subhepatic mass, probably adrenal mass. Our patient was a 58 years old man, that three months after an unsuccessful operation in another center for a pseudoadrenal mass underwent a very difficult subcapsular tumorectomy in our center. We present a case of a large subhepatic mass that discrimination of its origin from neighborhood organs was difficult preoperatively. ![]() There are a variety of causes of adrenal pseudotumors on computerized tomography (CT) scan, including upper-pole renal mass, gastric diverticulum, prominent splenic lobulation, pancreatic mass, hepatic mass, and periadrenal varices. ![]()
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