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Adrenal Pheochromocytoma With Contralateral Adrenocortical Adenoma in a Cat

From the Red Bank Veterinary Hospitals, 535 Maple Avenue (Calsyn), Linwood, New Jersey 08221, and 197 Hance Avenue (Green, Davis), Tinton Falls, New Jersey 07724 and IDEXX Laboratories (Reilly), 3 Centennial Drive, Suite 1, North Grafton, Massachusetts 01536.

A 7-year-old, neutered male cat was presented with a 6-month history of progressive polyuria, polydipsia, polyphagia, aggression, and weight gain. Previous blood work, urinalysis, and radiographs did not delineate a cause for the clinical signs. An ultrasound revealed bilateral adrenal gland enlargement. A low-dose dexamethasone suppression test was consistent with hyperadrenocorticism. Based on these findings, bilateral adrenalectomy was attempted and successfully performed. Histopathology was consistent with a cortical adenoma in the right adrenal gland and a pheochromocytoma in the left adrenal gland. This association has never been reported in the cat.