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Diagnosis and Treatment > Signs and Symptoms > Genu varum

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Valeria de Miguel Departments of Endocrinology, Metabolism and Nuclear Medicine

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Andrea Paissan Departments of Endocrinology, Metabolism and Nuclear Medicine

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Patricio García Marchiñena Departments of Urology, Metabolism and Nuclear Medicine

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Alberto Jurado Departments of Urology, Metabolism and Nuclear Medicine

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Mariana Isola Pathology, Buenos Aires, Argentina

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José Alfie Hypertension Unit of Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

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Patricia Fainstein-Day Departments of Endocrinology, Metabolism and Nuclear Medicine

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Summary

We present the case of a 25-year-old male with a history of neurofibromatosis type 1 and bilateral pheochromocytoma 4 years after kidney transplantation that was successfully treated with simultaneous bilateral posterior retroperitoneoscopic adrenalectomy.

Learning points:

  • Hypertensive patients with NF1 should always be screened for pheochromocytoma.

  • Pheochromocytoma is rarely associated with transplantation, but it must be ruled out in patients with genetic susceptibility.

  • Posterior retroperitoneoscopic adrenalectomy (PRA) allows more direct access to the adrenal glands, especially in patients with previous abdominal surgeries.

Taxonomy:
Clinical Overview, Gland/Organ, Adrenal, Topic, Adrenal, Hormone, Metanephrines, Condition/ Syndrome, Neurofibromatosis, Phaeochromocytoma, Patient Demographics, Age, Adolescent/young adult, Gender, Male, Ethnicity, Hispanic or Latino - Central American or South American, Country of Treatment, Argentina, Diagnosis and Treatment, Signs and Symptoms, Genu varum, Headache, Hypertension, Kidney dysplasia, Neurofibromas, Palpitations, Renal failure, Skin pigmentation - spotty, Sweating, Tachycardia, Investigation, Blood pressure, Creatinine, CT scan, Kidney function, Metanephrines (urinary), Normetanephrine, Intervention, Adrenalectomy, Kidney transplantation, Resection of tumour, Medication, Alpha-blockers, Amlodipine, Beta-blockers, Doxazosin, Fludrocortisone, Labetalol, Methylprednisolone, Mineralocorticoids, Prednisone, Related Disciplines, Nephrology, Publication Details, Case Report Type, Insight into disease pathogenesis or mechanism of therapy
DOI:
https://doi.org/10.1530/EDM-18-0162
Volume/Issue:
Volume 2019: Issue 1
Open access