Săvulescu F. 1, Nica R. 1, Surdeanu D. 1, Cirlan C. 1, Darmanescu M. 2, Trifu V. 2
1 Surgery Department, Central Clinical Emergency Military Hospital, Bucharest
2 Dermatology Department, Central Clinical Emergency Military Hospital, Bucharest
Abstract
Introduction. Adrenal tumours are often discovered incidentally, while a patient is undergoing an imaging examination (abdominal ultrasound, computed tomography, magnetic resonance imaging), for a problem unrelated to the adrenal gland, usually having no signs or symptoms suggesting adrenal disorders. Case report. A female patient was presented for moderate abdominal pain which started 2 month prior to her admission, without having any other signs or symptoms. The usual blood tests came up normal. The abdominal ultrasound revealed a relatively large abdominal cystic mass, possibly belonging to the liver. The CT scan could not certify the origin of the tumour, but located it between the right hepatic lobe and the right kidney. Because of the patient’s growing pain, diagnostic laparoscopic surgery was performed. The surgery was completed with the excision of the abdominal mass. Results. The patient’s postoperative progress was positive, with complete pain remission. The histological findings revealed that the abdominal mass was in fact a benign adrenal endothelial cyst. Conclusions. Unusual growing abdominal pain may benefit from diagnostic laparoscopy, especially when imaging procedures fail to offer accurate data. Minimal invasive surgery is the modern gold-standard for adrenal lesion excisions.