A Left Adrenal Mass on Workup Which Turns out to Be A Gastric Stromal Tumor at Surgery

A left adrenal mass was incidentally detected in a 61 years old male as he was evaluated for a dysuria. The man had a 20 years-long history of high blood pressure and used to snuff tobacco. All the adrenal hormones were normal levelled but that of the aldosterone. The aldosterone to renin ratio was low. However, the mass turned out to be an extra-adrenal one, typically a stromal tumor pedunculated into the gastric fundus. The urologists should be aware that a gastro-intestinal stromal tumor may misleadingly presents as a left adrenal tumor and consider it especially when an adrenal mass exhibits atypical hormone levels.