World Journal of Endocrine Surgery

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VOLUME 13 , ISSUE 1 ( January-April, 2021 ) > List of Articles

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Pancreatic Tail Pseudocyst Mimicking Adrenal Lesion during Laparoscopic Left Adrenalectomy for Pheochromocytoma

Man H Tang, Anil D Rao, Reyaz M Singaporewalla

Keywords : Adrenalectomy, Pancreatic pseudocyst, Pheochromocytoma

Citation Information : Tang MH, Rao AD, Singaporewalla RM. Pancreatic Tail Pseudocyst Mimicking Adrenal Lesion during Laparoscopic Left Adrenalectomy for Pheochromocytoma. World J Endoc Surg 2021; 13 (1):35-36.

DOI: 10.5005/jp-journals-10002-1319

License: CC BY-NC 4.0

Published Online: 20-11-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: This report highlights a case of a pancreatic tail pseudocyst mimicking an adrenal lesion during laparoscopic adrenalectomy for left-sided pheochromocytoma. Background: Minimally invasive adrenalectomy has become the gold standard for surgical excision for most adrenal lesions. There are, however, potential complications including injury to surrounding vital structures related to such minimally invasive procedures and can result in devastating consequences. Excellent knowledge of local anatomy with imaging correlation is mandatory to avoid complications. Case description: A 59-year-old woman presented initially with severe pancreatitis and was found to have a left adrenal incidentaloma on cross-sectioning imaging. Subsequent functional workup was suggestive of a pheochromocytoma and she underwent laparoscopic left adrenalectomy. Intraoperatively, a lesion in close proximity to the left kidney was initially thought to be the adrenal lesion but was found to be a pseudocyst arising from the tail of the pancreas instead upon further dissection. The left adrenal tumor was eventually resected without any complications. Conclusion: The pancreatic tail lesion can be mistaken to be a left adrenal tumor during laparoscopic left adrenal surgery. Significant findings: This case again highlights the importance of careful dissection of surgical planes and preoperative assessment of imaging for endoscopic adrenalectomy.


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