{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:51Z","timestamp":1787071551164,"version":"build-2736575974"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Abdominal pain is a frequent complaint in primary care, but rarely due to pheochromocytoma. A 23-year-old male farmer presented with right lumbar pain for 3 months, unintentional weight loss of 10 kg, and a nonproductive cough for 1 month. Initial evaluation revealed anemia and right-sided pleural effusion. Abdominal ultrasonography and contrast-enhanced CT demonstrated a large heterogeneous right suprarenal mass with retroperitoneal lymphadenopathy and pleural deposits, suggestive of malignant pheochromocytoma. The patient was referred to endocrinology for further management. This case highlights the importance of family physicians in recognizing red flags such as chronic abdominal pain, weight loss, and respiratory symptoms, and ensuring early referral. Strengthening family medicine services can facilitate timely diagnosis of serious illnesses, reduce complications, and improve patient outcomes.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_1469_24","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T11:01:44Z","timestamp":1764327704000},"page":"4894-4897","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Pheochromocytoma: A rare cause of abdominal pain identified in a family medicine outpatient department setting"],"prefix":"10.4103","volume":"14","author":[{"given":"SRK","family":"Teja","sequence":"first","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisarg","family":"Aravindan","sequence":"additional","affiliation":[{"name":"Division of Clinical Research and Training, St Johns Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athulya V.","family":"Ajith","sequence":"additional","affiliation":[{"name":"Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aakash","family":"Sachdeva","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joen","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,29]]},"reference":[{"key":"R1-20251211","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12960-015-0090-7","article-title":"The roles and training of primary care doctors:China, India, Brazil and South Africa","volume":"13","author":"Mash","year":"2015","journal-title":"Hum Resour Health"},{"key":"R2-20251211","first-page":"63","article-title":"A primary care approach to abdominal pain in adults","volume":"1","author":"Govender","year":"2021","journal-title":"S Afr Fam Pract"},{"key":"R3-20251211","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1159\/000515433","article-title":"Chronic abdominal pain in general practice","volume":"39","author":"Sabo","year":"2021","journal-title":"Dig Dis"},{"key":"R5-20251211","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0140-6736(10)61894-6","article-title":"Health care and equity in India","volume":"377","author":"Balarajan","year":"2011","journal-title":"Lancet"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1469_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:48:04Z","timestamp":1787068084000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1469_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":4,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1469_24","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2024-08-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-08","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}