Abstract
A 20-year-old man without associated disease visited a hospital for abdominal distention and edema of both legs. Abdominal CT showed a 16-cm hypervascular mass lesion of the right adrenal gland, multiple hepatic mass lesions, and tumor thrombus in the inferior vena cava. Laboratory findings included increase of hepatobiliary enzyme, urine cortisol, serum aldosterone, and serum dehydroepiandrosterone sulfate, and decrease of serum adrenocorticotropic hormone. The patient received chemotherapy. However, he died 1 month after the first medical examination. Autopsy was performed. The adrenal tumor was diagnosed as adrenal cortical carcinoma and peliosis hepatis was incidentally found. The production of adrenocortical hormones caused by adrenal cortical carcinoma seems to be related to the occurrence of peliosis hepatis in the present case.
