scholarly journals Angiomyolipoma; a rare entity in the left adrenal gland

2018 ◽  
Vol 8 (2) ◽  
pp. 1416-1418
Author(s):  
Shankar Bastakoti ◽  
Binay Thakur ◽  
Mukti Devkota ◽  
Amrita Paudel
Keyword(s):  
Adrenal Gland ◽  
Laparoscopic Adrenalectomy ◽  
Adrenal Mass ◽  
Histopathological Examination ◽  
English Literature ◽  
Flank Pain ◽  
Rare Entity ◽  
Left Adrenal Gland ◽  
Left Flank ◽  
Left Flank Pain

Adrenal angiomyolipoma is a rare benign entity and only to sixteen cases have been reported in English literature till date. Other site of occurrence is liver, spleen, lungs, bone and ovary. We report a female aged 54 years, who presented with left flank pain, on CT scan showed left adrenal mass. Patient underwent laparoscopic adrenalectomy and final histopathological examination revealed angiomyolipoma of   left adrenal gland.

Resistant hypertension after shockwave lithotripsy: the rude awakening of an adrenal incidentaloma

2020 ◽  
Vol 13 (8) ◽  
pp. e235261
Author(s):  
Ramon Jr Bagaporo Larrazabal ◽  
Harold Henrison Chang Chiu ◽  
Mark Anthony Santiago Sandoval
Keyword(s):  
Blood Pressure ◽  
Cushing’S Syndrome ◽  
Adrenal Mass ◽  
Adrenal Incidentaloma ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Flank Pain ◽  
Shockwave Lithotripsy ◽  
Left Flank ◽  
Left Flank Pain

A 41-year-old woman presented to the hospital because of left flank pain. CT scan of the kidneys revealed left-sided calculi and an incidental right adrenal mass, no other symptoms noted. She then underwent shockwave lithotripsy (SWL). However, immediately postoperatively, she had elevated blood pressure and remained hypertensive despite having four different medications. How SWL could have increased blood pressure could not be identified. On endocrine consult 16 months after SWL, she was found to now exhibit signs and symptoms of Cushing’s syndrome. Further workup revealed the adrenal incidentaloma to be cortisol-secreting. After undergoing right laparoscopic adrenalectomy, her blood pressure normalised, cortisol levels decreased and signs of Cushing’s syndrome gradually improved. We hypothesise that the performance of the SWL could have triggered the adenoma to ‘awaken’ from being non-functioning to cortisol-producing since this was the only intervening event. Observations of other patients are needed to validate our hypothesis.

scholarly journals Adrenal Ganglioneuroblastoma in Adults: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Stefano Benedini ◽  
Giorgia Grassi ◽  
Carmen Aresta ◽  
Antonietta Tufano ◽  
Luca Fabio Carmignani ◽  
...  
Keyword(s):  
Adrenal Mass ◽  
Clinical Case ◽  
Ultrasound Examination ◽  
Flank Pain ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Left Flank ◽  
Adrenal Masses ◽  
Conclusive Diagnosis ◽  
Left Flank Pain

Incidentally discovered adrenal masses are very common given the increased number of imaging studies performed in recent years. We here report a clinical case of a 20-year-old woman who presented with left flank pain. Ultrasound examination revealed a contralateral adrenal mass, which was confirmed at computed tomography (CT) scan. Hormonal hypersecretion was excluded. Given the size (11 × 10 × 7 cm) and the uncertain nature of the mass, it was surgically removed and sent for pathological analyses. Conclusive diagnosis was ganglioneuroblastoma. Ganglioneuroblastoma is an uncommon malignant tumor, extremely rare in adults, particularly in females. This neoplasm is frequently localized in adrenal gland.

scholarly journals Surgical Management of Giant L2 Adrenal Neuroblastoma in Adult Male

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Bikash Bikram Thapa ◽  
Sanjay Yadav ◽  
Sujit Pant ◽  
Pratik Rajkarnikar ◽  
Pankaj Mandal
Keyword(s):  
Adrenal Gland ◽  
Neural Crest ◽  
Rare Disease ◽  
Surgical Management ◽  
Adrenal Mass ◽  
Histopathological Examination ◽  
Left Kidney ◽  
Surgical Excision ◽  
Left Adrenal Gland ◽  
En Bloc

Neuroblastoma is an embryonal malignancy that arises from neural crest cells. Adult adrenal neuroblastoma is a rare disease, and less than 100 cases were reported in the literature. Adult neuroblastoma commonly presents with abdominal (retroperitoneal) lump and pain. A 35-year-old male patient presented with a giant ( 20   cm × 17   cm × 12   cm ) nonfunctional left adrenal mass. He underwent en-bloc surgical excision of the left adrenal gland along with the left kidney. Histopathological examination revealed adrenal neuroblastoma (stage 2B, L2). We present here the surgical management of the rare adult adrenal neuroblastoma.

scholarly journals Angiomyolipoma of the Right Adrenal Gland

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Oktay Yener ◽  
Alp Özçelik
Keyword(s):  
Adrenal Gland ◽  
Ct Scan ◽  
Laparoscopic Adrenalectomy ◽  
Adrenal Mass ◽  
Rare Entity ◽  
Computerised Tomography ◽  
Radiological Investigation ◽  
Epigastric Discomfort ◽  
Histopathological Features ◽  
The Right

Adrenal angiomyolipoma is rare. Only four cases have been reported so far. These are commonly found in Kidney but extrarenal sites are also mentioned. Angiomyolipoma arising in adrenal is very rare entity, usually asymptomatic, diagnosed incidentally on radiological investigation of abdomen for other conditions. We report our experience with a 45-year-old woman who presented with epigastric discomfort. A computerised tomography (CT) scan showed an adrenal mass. Laparoscopic adrenalectomy was performed and the histopathological features confirmed the diagnosis of adrenal angiomyolipoma. The patient recovered without any complications following surgery.

Impacted vesicouretric stone a quagmire settled with holmium laser

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Manjeet Kumar ◽  
◽  
Sanjeev Chauhan ◽  
Keyword(s):  
Medical Treatment ◽  
Ct Scan ◽  
Flank Pain ◽  
Nausea And Vomiting ◽  
Holmium Laser ◽  
Operation Theatre ◽  
Left Flank ◽  
Noncontrast Ct ◽  
Left Flank Pain

A 38 years female presented with left flank pain, nausea, and vomiting. Ultrasound and Noncontrast CT scan were suggestive of left hydronephrosis with left Vesicoureteral stone (Figure 1). Conservative medical treatment previously was not successful. Blood investigations were Hb 11.5 gm%, TLC 11500/mm3 , urea 22, creatinine 0.6, urine was full of RBCs. She was taken to the operation theatre for emergency double j stenting. Cystoscopy showed impacted left vesicoureteral stone (Figure 2,3).

scholarly journals Elderly woman with left flank pain

2019 ◽  
Vol 16 ◽  
pp. 100533
Author(s):  
Caroline Trippel ◽  
Anthony Furiato
Keyword(s):  
Elderly Woman ◽  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

scholarly journals Left Flank Pain

2015 ◽  
Vol 16 (2) ◽  
pp. 314-315
Author(s):  
Thomas Nappe ◽  
Shawn Quinn
Keyword(s):  
Flank Pain ◽  
Left Flank ◽  
Left Flank Pain

Nutcracker syndrome: A rare cause of left flank pain that can also manifest as unexplained pelvic pain

2017 ◽  
Vol 84 (5) ◽  
pp. 557-562 ◽  
Author(s):  
Jean-Marie Berthelot ◽  
Frédéric Douane ◽  
Yves Maugars ◽  
Eric Frampas
Keyword(s):  
Pelvic Pain ◽  
Flank Pain ◽  
Nutcracker Syndrome ◽  
Left Flank ◽  
Left Flank Pain

scholarly journals Multiple Renal Abscesses due to ESBL Extended-Spectrum Beta-Lactamase-Producing Escherichia coli Causing Acute Pyelonephritis and Bacteremia: A Case Report with a Good Outcome (No Drainage Required)

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Abdalla Khalil ◽  
Musaad Qurash ◽  
Asem Saleh ◽  
Rasha Ali ◽  
Mohamed Elwakil
Keyword(s):  
Ct Scan ◽  
Acute Pyelonephritis ◽  
Urine Culture ◽  
Flank Pain ◽  
Beta Lactamase ◽  
Extended Spectrum Beta Lactamase ◽  
Left Flank ◽  
Extended Spectrum ◽  
Abdomen Ct ◽  
Left Flank Pain

Extended-spectrum beta-lactamase-producing Enterobacteriaceae urinary tract infections are challenging infections with increased mortality, morbidity, and failure of therapy. A 44-year-old Saudi male diabetic patient was seen at the ER of IMC Hospital with features of acute pyelonephritis: fever, burning urine, and left flank pain for three days. He was treated for cystitis at the Endocrine Clinic two weeks prior to his ER visit with nitrofurantoin and levofloxacin orally according to urine culture and sensitivity result. The patient was admitted, received IV meropenem, and continued to be febrile for three days. His urine and blood culture at ER grew the same ESBL-producing E. coli as in his urine culture from the Endocrine Clinic. His abdomen CT scan showed two left renal abscesses at the upper and middle poles. His temperature resolved on the fourth day of IV therapy. Intravenous meropenem was continued for 4 weeks after inserting PICC line and the patient was followed up by home healthcare. He was feeling better with occasional left flank pain and repeated abdomen CT scan showed complete resolution of both renal abscesses.

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