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Case Reports
. 2021 Feb 10;14(2):e232266.
doi: 10.1136/bcr-2019-232266.

A rare case of right shoulder pain

Asha Bansari  1 , Nila S Radhakrishnan  2 , Juan Nicolas Kattan  2
Affiliations
Case Reports

A rare case of right shoulder pain

Asha Bansari et al. BMJ Case Rep. .

Abstract

We present a case of a 19-year-old man with right shoulder pain lasting for several months. Abdominal imaging revealed a right adrenal mass directly invading vascular structures into the right atrium. Widespread metastatic adrenocortical carcinoma was confirmed on biopsy. He opted for palliative mitotane treatment with home hospice care. This case emphasises the importance of considering abdominal masses in the differential diagnosis of persistent right shoulder pain after common causes have been ruled out. Early diagnosis could be potentially life-saving.

Keywords: endocrine cancer; general practice / family medicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
CT image shows a large right adrenal mass of 11.2×11.9×13.5 cm with areas of enhancement, hypodensity and peripheral calcification.
Figure 2
Figure 2
CT image shows the right adrenal mass invading the inferior vena cava and hepatic veins and extending into the right atrium.
See this image and copyright information in PMC

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