Adrenalectomy for pheochromocytoma (PCC) is generally performed after preparation with αand β-sympathicolytic agents to blunt the effects of the elevated catecholamine output. In patients also known to have hypertrophic cardiomyopathy, this preoperative workup needs more attention than in other patients with PCC. This is illustrated by the following case, in which the perioperative pass through...

Select patients with ACTH-dependent Cushing's syndrome, such as patients with persistent Cushing's disease after failed hypophysectomy or patients with ectopic ACTH production, may require bilateral adrenalectomy. Laparoscopic bilateral adrenalectomy has been described, offering definitive treatment with reduced morbidity compared with open techniques. We report on the performance of synchronou...

neuroblastoma is the most common extracranial solid tumor in childhood. in different classification of neuroblastomas, a subset of undifferentiated or poorly differentiated tumors with bizarre histological features has been mentioned. a 3-year-old girl presented with abdominal pain. her haematological and biochemical parameters were normal except her urinary vanelylmandelic acid level was elevat...

paragangliomas are tumors that originate from extra-adrenal medullary neural crest derivatives. they are rarely located in retroperitoneal space. these tumors are often discovered incidentally during imaging studies performed for other reasons.periampullary cancers include adenocarcinomas arising from the pancreas, ampulla of vater, duodenum or distal common bile duct. the exact site of origin ...

INTRODUCTION Adrenal myelolipomas are relatively rare, non-functioning benign tumours composed of mature fatty and active hematopoietic elements. They can be asymptomatic, even if their size is massive. Diagnosis is relatively simple using ultrasound, computed tomography and magnetic resonance imaging. Surgical resection through an extraperitoneal approach is advocated in cases of symptomatic o...

We reported a 54-year-old asymptomatic man who received PET-CT scan for physical health examination at our hospital. In PET-CT scan, we incidentally found a left suprarenal tumor located adjacent to diaphragmatic crus with almost no FDG activity. This tumor was cystic in nature and slightly enlarged in size on CT scan one year later. Laparoscopic adrenalectomy and resection of this suprarenal t...

OBJECTIVE To compare the effects of general anesthesia combined with epidural preemptive analgesia with general anesthesia on stress reaction in the retroperitoneal laparoscopic surgery. METHODS Forty patients with adrenal tumors undergoing retroperitoneal laparoscopic surgeries were randomly assigned into general anesthesia combined with epidural preemptive analgesia group (GE) and general a...

Adrenal incidentalomas (AIs) are mostly benign and nonsecretory. Management algorithms lack sensitivity when assessing malignant potential, although functional status is easier to assess. We present a subject whose AI was a retroperitoneal leiomyosarcoma (RL). Case Presentation. A woman on warfarin with SLE and the antiphospholipid syndrome, presented with left loin pain. She was normotensive a...