Laparoscopic Adrenalectomy Formetastatic Adrenal Mass as Diagnosis of Suspected Lung Tumor: A Case Report

ABSTRACT Aim We described the use of a hand-port assisted laparoscopic adrenalectomy for excising a large 10 cm vascular left adrenal pheochromocytoma. The useful technical tips and important pitfalls to avoid for a successful outcome are discussed in this article. Introduction A 64-year-old man who was investigated for microalbuminuria was found to have a 10-cm left adrenal mass. Blood investigation and imaging confirmed it to be a pheochromocytoma. Case report Initial mobilization of the adrenal mass was performed laparoscopically using two 5-mm ports in the epigastric. While dissecting the inferomedial pedicle, the aberrant adrenal vessel was injured and resulted in torrential bleeding. A gelport for hand assistance was inserted as a salvage approach for hemostasis. Conclusion Hand-port assisted laparoscopic adrenalectomy is a very practical and easy-to-adopt technique that preserves the minimally invasive surgical advantages in patients with large adrenal masses. Clinical significance: We advocate the use of hand-assisted laparoscopic adrenalectomy technique for complex pheochromocytoma as an alternative for surgeons with vast experience in laparoscopic adrenalectomy. How to cite this article Lee DJK, Tan YP, Singaporewalla RM. Salvage Technique for Intraoperative Hemorrhage during Laparoscopic Resection of Large Pheochromocytoma: A Case Report and Literature Review. World J Endoc Surg 2017;9(1):27-31.

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Extramedullary hematopoiesis in the adrenal: Case report and review of literature

Canadian Urological Association Journal ◽

10.5489/cuaj.1389 ◽

2013 ◽

Vol 7 (5-6) ◽

pp. 436 ◽

Cited By ~ 12

Author(s):

John S. Banerji ◽

Kumar Manoj Ramani ◽

A. Devasia

Keyword(s):

Case Report ◽

Adrenal Gland ◽

Lymph Nodes ◽

Laparoscopic Adrenalectomy ◽

Adrenal Mass ◽

Extramedullary Hematopoiesis ◽

Asymptomatic Individual ◽

Review Of Literature ◽

Extramedullary Haematopoiesis ◽

History Of

Extramedullary haematopoiesis (EMH) is common in the spleen, liver and lymph nodes, or in para osseus sites. EMH in the adrenal is rare, with fewer than 10 cases reported. We report the case of a 40-year-old male who underwent laparoscopic adrenalectomy for an incidentally detected adrenal mass. The histology showed extramedullary hematopoesis. In patients with a known history of haemolytic anaemia, an enlarged adrenal gland in an asymptomatic individual could represent extramedullary haematopoesis. A confirmatory biopsy would be all that is necessary to avoid adrenalectomy.

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Simultaneous bilateral laparoscopic adrenalectomy for pheochromocytoma in multiple endocrine neoplasia (MEN) syndrome: Case report with review literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2014.03.007 ◽

2014 ◽

Vol 5 (8) ◽

pp. 487-490 ◽

Cited By ~ 4

Author(s):

Kaushal Yadav ◽

Ganesh Bakshi ◽

Gagan Prakash ◽

Anup Tamhankar ◽

Kamlesh Verma

Keyword(s):

Case Report ◽

Laparoscopic Adrenalectomy ◽

Multiple Endocrine Neoplasia ◽

Review Literature ◽

Endocrine Neoplasia

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Myiasis Absent Wohlfahrtiimonas Chitiniclastica Bacteremia in a Lung Cancer Patient – A Case Report

10.21203/rs.3.rs-410141/v1 ◽

2021 ◽

Author(s):

Peter Dovjak ◽

Michael Kroissenbrunner ◽

Bernhard Iglseder

Keyword(s):

Lung Cancer ◽

Case Report ◽

Cancer Patient ◽

Lung Cancer Patient ◽

Chronic Wounds ◽

Lung Tumor ◽

Personal Hygiene ◽

Human Pathogen ◽

Case Presentation ◽

First Case

Abstract Background: A gruesome infection was found in a woman with advanced lung tumor and associated malnutrition. Worldwide, bacteremia with Wohlfartiimonas chitiniclastica was only found in 13 cases yet.Case presentation: This is the first case in Austria and the first case without infestation of maggots.Conclusions: This germ may be considered as an emerging human pathogen not only in patients with poor personal hygiene, difficult social circumstances, alcohol dependence or chronic wounds.AbstraktEine grauenhafte Infektion wurde bei einer Patientin mit fortgeschrittenem Lungentumor und Malnutrition gefunden. Bisher wurden weltweit erst 13 Fälle mit einer Wohlfahrtiimonas chitiniclastica - Bakteriämie beschrieben. Dieser erste Fall in Österreich manifestierte sich ohne eine Infestation mit Maden. Dieses Bakterium kann als neuer Krankheitserreger betrachtet werden, der nicht nur bei Patienten unter mangelnder Hygienebedingungen, schwierigen sozialen Verhältnissen, Alkoholabhängigkeit oder chronischen Wunden auftreten kann.

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Case Report: Laparoscopic Adrenalectomy in a Patient with Primary Adrenal Malignant Melanoma

Journal of Endourology ◽

10.1089/end.2006.20.123 ◽

2006 ◽

Vol 20 (2) ◽

pp. 123-126 ◽

Cited By ~ 5

Author(s):

Evangelos N. Liatsikos ◽

Zafiria Papathanassiou ◽

Theodoros Voudoukis ◽

Maria Repanti ◽

Christina Sklavou ◽

...

Keyword(s):

Case Report ◽

Malignant Melanoma ◽

Laparoscopic Adrenalectomy

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Abstract #1003811: Cushing’s Syndrome With Unilateral Adrenal Mass: A Case Report

Endocrine Practice ◽

10.1016/j.eprac.2021.04.504 ◽

2021 ◽

Vol 27 (6) ◽

pp. S16

Author(s):

Nur Hidayat ◽

Dicky L. Tahapary ◽

Tri Juli Edi Tarigan ◽

Subekti Imam

Keyword(s):

Case Report ◽

Cushing’S Syndrome ◽

Adrenal Mass ◽

Cushing's Syndrome

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NUT midline carcinoma as a primary lung tumor: a case report

Journal of Thoracic Disease ◽

10.21037/jtd.2017.11.50 ◽

2017 ◽

Vol 9 (12) ◽

pp. E1045-E1049 ◽

Cited By ~ 3

Author(s):

Jiashun Cao ◽

Donghong Chen ◽

Fan Yang ◽

Jingjing Yao ◽

Weipeng Zhu ◽

...

Keyword(s):

Case Report ◽

Lung Tumor ◽

Nut Midline Carcinoma ◽

Primary Lung Tumor

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Primary Adrenal Leiomyosarcoma: A Case Report and Literature Review

Clinical medicine Oncology ◽

10.4137/cmo.s627 ◽

2008 ◽

Vol 2 ◽

pp. CMO.S627 ◽

Cited By ~ 2

Author(s):

M Mencoboni ◽

M Bergaglio ◽

M Truini ◽

M Varaldo

Keyword(s):

Case Report ◽

Literature Review ◽

Adrenal Mass ◽

Clinical Course ◽

Therapeutic Strategies ◽

Anatomic Site ◽

Histological Features ◽

Mesenchymal Neoplasm ◽

Diagnostic Approaches ◽

Final Histological Diagnosis

The case presented here illustrates a 75 year old female patient who underwent surgical resection of a right adrenal mass of uncertain nature. The final histological diagnosis was consistent with leiomyosarcoma arising from the adrenal anatomic site. Primary leiomyosarcoma of the adrenal gland is a very rare malignant mesenchymal neoplasm: to our knowledge, this is only the twelfth case reported in literature. We describe the clinical course and a brief review of clinical and histological features, biologic behaviour, diagnostic approaches and therapeutic strategies.

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Cytological Features of a Variant NUT Midline Carcinoma of the Lung Harboring theNSD3-NUTFusion Gene: A Case Report and Literature Review

Case Reports in Pathology ◽

10.1155/2015/572951 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Shiho Kuroda ◽

Shioto Suzuki ◽

Akira Kurita ◽

Mari Muraki ◽

Yoichiro Aoshima ◽

...

Keyword(s):

Case Report ◽

Nuclear Protein ◽

Lung Tumor ◽

Nut Midline Carcinoma ◽

Case Presentation ◽

First Case ◽

Cytological Features ◽

Pearl Formation ◽

Mitotic Figures ◽

First Time

Background. Nuclear protein in testis (NUT) midline carcinoma (NMC) is a very rare and aggressive malignancy. In more than two-thirds of these NMC cases, a fusion betweenNUTandBRD4orBRD3has been documented; other variants are rare. The cytology of NMC itself has been sparsely documented and that of variant NMC has never been reported.Case Presentation. A 36-year-old woman was admitted because of a rapidly progressing lung tumor with metastases to the breast and bone. We recently reported this patient as the first case of a variant NMC of the lung harboring anNSD3-NUTfusion, based on immunohistochemical and genetic analyses. Cytological material was available for the present review. A highly cellular smear contained a predominantly noncohesive pattern of monomorphic cells with diameters 2–2.5 times greater than those of small lymphocytes, with a round-to-oval nucleus, slightly irregular nuclear contours, variably prominent nucleoli, scant cytoplasm, and identifiable mitotic figures. Foci of stratification and overt pearl formation, including a dyskeratocyte, were occasionally observed. The necrotic background contained naked nuclei, karyorrhectic debris, apoptotic cells, and macrophages phagocytizing karyorrhectic debris; nuclear crushing was noted.Conclusion. The cytological features of a variant NMC of the lung are described for the first time.

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