DOI: https://doi.org/10.36347/sjmcr.2025.v13i07.017

Pages: 1592-1597

Pheochromocytoma is a rare and severe pathology; producing an excess of catecholamines. Adrenal involvement is most often unilateral. In 10% of cases, bilateral localization is observed, most often in the context of a familial disease. However, sporadic bilateral forms can be observed. The interest of our work is to highlight the particularities of this pheochromocytoma, and the contribution of metabolic imaging in the assessment of its localization. In this regard, we report the observation of a 30-year-old patient who was hospitalized for exploration of secondary arterial hypertension, in a context of elevation of methoxylated derivatives to 46 times normal. Abdominal CT noted the presence of two bilateral adrenal masses. The NEM 2 assessment is negative. Somatostatin receptor scintigraphy (SRS) showed hyperfixation at the level of the two bilateral adrenal masses. The diagnosis of bilateral pheochromocytoma was made. Bilateral adrenalectomy was performed. The diagnosis of bilateral pheochromocytoma requires confirmation of the secretory nature of both adrenal tumors. Scintigraphy can objectify the neuroendocrine nature of both adrenal masses. The search for an underlying genetic disorder must be systematic.