Laparoscopic management of adrenal incidentaloma. A case report.
Perzabal Avilez CT, Lopez Jaime CA, Ruiz Cereceres SJ, Soto Posada AK, Zapata Arredondo TG, Acosta García AG. Laparoscopic management of adrenal incidentaloma. A case report. Am J Med Surg. January 2022; 6(3). 11-15.
BACKGROUND: The term “incidentaloma” was coined in 1982 by Geelhoed and Druy, as initially used to describe an incidentally discovered adrenal mass on imaging study ordered for conditions unrelated to any suspicion of adrenal disease.
This is a 68-year-old male who comes to the outpatient clinic for presenting pain in the left lumbar region of 6 months of oppressive evolution, without other added symptoms, a contrasted abdominal tomography study is performed, with evidence of little 1 cm left adrenal tumor, to which the patient decides to perform surgery to remove the tumor.
The patient went in the right lateral decubitus position, and thrue laparoscopic surgery the left Told fascia was release with ligasure, the splenocolic ligament was released, the spleen is separated from the kidney, and the upper pole of the kidney and adrenal gland are identified as well as perirenal fat which is proceed to resect in its entirety.
The major clinical concern in adrenal incidentaloma is the risk of malignancy and hormone overproduction, but most adrenal masses are non-functional benign cortical adenomas that require no treatment. Many incidentaloma, while picked up incidentally, may have clinical symptoms or associated signs on closer questioning and clinical examination.
Adrenal tumors are usually imaging findings due to the widespread use of imaging studies at present, and currently the transabdominal laparoscopic surgery is an excellent therapeutic option with a low rate of complications and satisfactory postoperative results.
KEY WORDS: Adrenal adenoma; adrenal computed tomography; adrenal incidentaloma; laparoscopic adrenalectomy