Abstract
Large adrenal masses with a diameter of ≥4 cm, although infrequently encountered, should prompt the consideration of 2 main diagnoses— pheochromocytoma and adrenal cortical carcinoma. In this report, I describe a patient who presented with shock and multiorgan failure, who was unexpectedly found to have a large adrenal mass on computed tomography (CT) scan, which was done for localization of infective foci. He had a stormy initial clinical course, and the possibility of pheochromocytoma crisis was considered, as “the great masquerader” can present in a myriad of ways.
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