{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T15:29:46Z","timestamp":1781450986760,"version":"3.54.1"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,27]],"date-time":"2024-11-27T00:00:00Z","timestamp":1732665600000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Compound pheochromocytoma refers to a rare adrenal tumor that includes neuroblastic components and is a rare catecholamine-producing tumor from chromaffin cells, typically found in the adrenal medulla. It usually presents with symptoms like tachycardia, headache, and intermittent diaphoresis, although its clinical manifestations can vary. Diagnosis involves biochemical studies and imaging such as catecholamines, metanephrines, CT scans, and positron emission tomography (PET). The surgical management is the definitive, being the laparoscopic approach of choice in most cases. This case report discusses a 45-year-old male who presented with tachycardia and palpitations, diagnosed with left pheochromocytoma exhibiting neuroblastoma differentiation, surgically treated through anterior laparoscopy without any trans-surgical complications and with low bleeding. Postoperative recovery was uneventful, and pathology confirmed the diagnosis. Timely diagnosis and surgical removal are crucial, with laparoscopy being the preferred approach for tumor resection.<\/jats:p>","DOI":"10.1093\/jscr\/rjae731","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:07:15Z","timestamp":1732752435000},"source":"Crossref","is-referenced-by-count":2,"title":["Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8040-4379","authenticated-orcid":false,"given":"Santiago","family":"Mu\u00f1oz-Palomeque","sequence":"first","affiliation":[{"name":"PGY3 , General and Laparoscopic Surgery, Universidad Internacional del Ecuador, Quito 170411 ,","place":["Ecuador"]},{"name":"General Surgery Department , Hospital Metropolitano, Quito 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Aguayo-Vistin","sequence":"additional","affiliation":[{"name":"Department of Surgery , Division of General Surgery, Hospital General San Francisco, Quito 170120 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0001-9070","authenticated-orcid":false,"given":"Gabriel A","family":"Molina","sequence":"additional","affiliation":[{"name":"Universidad San Francisco de Quito , Department of General Surgery, Hospital Metropolitano, Quito 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zanny","family":"Bastidas-Ar\u00e9valo","sequence":"additional","affiliation":[{"name":"PGY1 , Internal Medicine, Universidad Internacional del Ecuador, Quito 170411 ,","place":["Ecuador"]},{"name":"Department of Internal Medicine , Hospital Metropolitano, Quito 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime Paul","family":"Herrera Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine , Hospital Metropolitano, Quito 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian I","family":"Gordon","sequence":"additional","affiliation":[{"name":"PGY3 , General and Laparoscopic Surgery, Universidad Internacional del Ecuador, Quito 170411,","place":["Ecuador"]},{"name":"General Surgery Department , Hospital Metropolitano, Quito 170508 ,","place":["Ecuador"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,11,26]]},"reference":[{"key":"2024112800070534700_ref1","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/S1575-0922(08)70669-7","article-title":"Feocromocitoma: actualizaci\u00f3n diagn\u00f3stica y terap\u00e9utica","volume":"55","author":"Oleaga","year":"2008","journal-title":"Endocrinol Nutr"},{"key":"2024112800070534700_ref2","first-page":"124","article-title":"Feocromocitoma: Diagn\u00f3stico y tratamiento","volume-title":"Rev Mex Cardiol","author":"S\u00e1nchez"},{"key":"2024112800070534700_ref3","doi-asserted-by":"publisher","first-page":"918","DOI":"10.1016\/S0304-5412(12)70405-5","article-title":"Protocolo diagn\u00f3stico ante la sospecha de un feocromocitoma","volume":"11","author":"Bartolom\u00e9","year":"2012","journal-title":"Med - Programa Form M\u00e9dica Contin Acreditado"},{"key":"2024112800070534700_ref4","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1309\/AJCPN76VTIGWPOAG","article-title":"Composite pheochromocytoma: a clinicopathologic and molecular comparison with ordinary pheochromocytoma and neuroblastoma","volume":"132","author":"Comstock","year":"2009","journal-title":"Am J Clin Pathol"},{"key":"2024112800070534700_ref5","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1007\/s00428-023-03492-y","article-title":"Composite pheochromocytoma of the adrenal gland-a review of published cases","volume":"483","author":"Costa","year":"2023","journal-title":"Virchows Arch Int J Pathol"},{"key":"2024112800070534700_ref6","doi-asserted-by":"publisher","first-page":"1274","DOI":"10.5858\/1999-123-1274-PAWNC","article-title":"Pheochromocytoma associated with neuroendocrine carcinoma. 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