{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T13:58:19Z","timestamp":1774360699359,"version":"3.50.1"},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>An adrenal \u201cincidentaloma\u201d is defined as an unexpected finding on radiological imaging performed for unrelated indications. Improvements in radiological technology have seen a dramatic increase in this phenomenon. We report the unique case of a 60-year-old female presenting with a 6-month history of abdominal pain, altered bowel habit, and rectal bleeding. Her past medical history included situs inversus totalis and a patent ductus arteriosus. Colonoscopy revealed an ulcerated tumour in her sigmoid colon. Staging PET-CT confirmed a sigmoid tumour and also identified a large heterogenous enhancing FDG-avid right adrenal mass. Biochemical testing\/MIBG imaging confirmed a right adrenal phaeochromocytoma. Hypertension was controlled and excision was performed via a transperitoneal laparoscopic adrenalectomy, in the left lateral decubitus position. Uniquely, liver retraction was not required due to its position in the left hypochondrium. Histology confirmed a benign 46\u2009mm phaeochromocytoma. Subsequent uncomplicated sigmoid colectomy\/right salpingo-oophorectomy for a locally advanced colonic tumour was performed with adjuvant chemotherapy. This case highlights the importance of accurately identifying functioning adrenal tumours before elective surgery as undiagnosed phaeochromocytomas carry significant intraoperative morbidity\/mortality. Right adrenalectomy was made easier in this patient by the liver\u2019s unique position. Uncomplicated colorectal resection was made possible by combined preoperative functional\/anatomical imaging.<\/jats:p>","DOI":"10.1155\/2014\/645462","type":"journal-article","created":{"date-parts":[[2014,7,8]],"date-time":"2014-07-08T22:16:59Z","timestamp":1404857819000},"page":"1-4","source":"Crossref","is-referenced-by-count":3,"title":["Incidental Phaeochromocytoma on Staging PET-CT in a Patient with a Sigmoid Tumour and Situs Inversalis Totalis"],"prefix":"10.1155","volume":"2014","author":[{"given":"M. R.","family":"Boland","sequence":"first","affiliation":[{"name":"The Department of Endocrine, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. J.","family":"Lowery","sequence":"additional","affiliation":[{"name":"The Department of Endocrine, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Walsh","sequence":"additional","affiliation":[{"name":"The Department of Endocrine, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Beddy","sequence":"additional","affiliation":[{"name":"The Department of Colorectal Surgery, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. S.","family":"Prichard","sequence":"additional","affiliation":[{"name":"The Department of Endocrine, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"O\u2019Shea","sequence":"additional","affiliation":[{"name":"The Department of Endocrinology, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. J.","family":"Skehan","sequence":"additional","affiliation":[{"name":"The Department of Radiology, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. W.","family":"McDermott","sequence":"additional","affiliation":[{"name":"The Department of Endocrine, St Vincent\u2019s University Hospital, Elm Park, Dublin 4, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03344099"},{"key":"2","year":"1989"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(02)00539-9"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000164175.26785.06"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.03.045"},{"issue":"2","key":"6","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1177\/0310057X9802600212","volume":"26","year":"1998","journal-title":"Anaesthesia and Intensive Care"},{"key":"7","first-page":"S337","volume":"15","year":"2011","journal-title":"Indian Journal of Endocrinology and Metabolism"},{"key":"8","volume-title":"Pheochromocytoma","year":"2001"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658514"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.4158\/EP.14.9.1137"},{"issue":"5","key":"11","doi-asserted-by":"crossref","first-page":"424","DOI":"10.7326\/0003-4819-138-5-200303040-00013","volume":"138","year":"2003","journal-title":"Annals of Internal Medicine"},{"issue":"2","key":"12","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.jss.2006.08.035","volume":"140","year":"2007","journal-title":"Journal of Surgical Research"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/BF03347444"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65958-7"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.06.1179"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/645462.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/645462.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/645462.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,12]],"date-time":"2019-08-12T14:59:51Z","timestamp":1565621991000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2014\/645462\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":15,"alternative-id":["645462","645462"],"URL":"https:\/\/doi.org\/10.1155\/2014\/645462","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}