Clinically inapparent adrenal masses detected through imaging for nonadrenal disease, often referred to as adrenal incidentalomas, were first described approximately 20 years ago. However, their impact on health outcomes is now better appreciated and gaining broader attention. Despite the rarity of primary endocrine cancers of the adrenal, adrenal masses are one of the most prevalent of all human tumors. The prevalence of adrenal incidentaloma approaches 3% in middle age and increases to as much as 10% in the elderly. This report describes the case of a 30-year-old man who presented primarily with complaints of deep vein thrombosis of the left leg secondary to a nonfunctioning adrenocortical carcinoma.

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