Laparoscopic management of huge adrenal cyst: case report and literature review

Document Type : Case Report

Authors

1 Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Andrology research center, Yazd reproductive sciences institute, Shahid Sadoughi University of medical sciences, Yazd, Iran

3 Department of Urology, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Department of Urology, School of Medicine, Trauma Research Center, Shahid Rahnemoun General Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

10.22034/tru.2023.375471.1136

Abstract

Introduction: Cystic lesions in adrenal glands are not common and have a wide range in diameter, even to 30 centimeters in the reports. They may have some hormonal activities, but most of them do have not hormonal functions. Simple adrenal cysts often have four pathologic types, and endothelial cysts are the most common. It seems that the best treatment for these cysts is complete excision of them because of the slight risk of malignancy, and of course, it is better to be done in a laparoscopic manner with fewer complications, post-surgery pain, and blood loss.

Case presentation: We reported two cases with adrenal cystic lesions, a 35 y/o woman and a 30 y/o man with a large cystic mass in the upper pole of the left kidney (80 mm and 90 mm respectively), who were referred to our center. Both patients underwent intraperitoneal laparoscopic partial adrenalectomy and the pathology reports of both masses were endothelial adrenal cysts, and in 12 months of follow-up, no complication or recurrence was reported.

Conclusion: In symptomatic patients with no malignancy evidence, laparoscopic surgery inclusive of cyst excision, partial or total adrenalectomy is a safe procedure and excellent result besides open surgery.

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Articles in Press, Accepted Manuscript
Available Online from 24 April 2023
  • Receive Date: 04 December 2022
  • Revise Date: 12 April 2024
  • Accept Date: 24 April 2023