We report a case of adrenocortical tumor that coexisted with paragangliomas
. A 35-year-old woman was admitted to the hospital because of left upper ab
dominal pain. A palm-sized mass was palpated at left upper quadrant. Hormon
al studies revealed the features of pheochromocytoma. An emergency operatio
n was performed because hemorrhage of the tumor was suspected. A 10 cm diam
eter ruptured mass was found in the left adrenal area and other tumors were
also noted adjacent to inferior vena cava (IVC). The pathologic report rev
ealed that the adrenal mass was an adrenocortical tumor with hemorrhagic ne
crosis and that the tumors adjacent to IVC were paragangliomas. This was th
e first case of adrenocortical tumor with paragangliomas in our Medline sea
rch result, hence we report the case with a review of the literature.