Incidentaloma gigante de adrenal em paciente jovem

Revista do Colégio Brasileiro de Cirurgiões

Cristiano Feijó Andrade²  Paulo Rogério Quieregatto Do Espírito Santo¹  Antônio Roberto Franchi Teixeira¹ 

[1] ,FMJ Serviço de Cirurgia Geral

关键词: Adrenal;    Computerized tomography;    Incidentaloma;    Ultrasonography;   

DOI  :  10.1590/S0100-69912000000500014

来源: SciELO

【 摘 要 】

Incidental adrenal tumors are lesions occasionally observed during abdominal US or CT scans. These tumors have been observed in patients without clinical or laboratorial signs of adrenal disease. The authors report a case of a 18 - years - old young man who was admitted to the Franco da Rocha Hospital, São Paulo, with abdominal pain and a palpated mass in the epigastrium which began one month ago. These findings were preceeded by a blunt trauma at the epigastrium three months earlier. First clinical hypothesis was of a traumatic pancreatic pseudocyst. However, investigation and laparotomy showed a large left adrenal solid mass, weighting 700 g. The mass was removed and histology was performed. There was no evidence of malignant neoplasm, then the diagnostic of incidental adenoma of adrenal was confirmed. The authors hope to stimulate surgeons for early detection of these lesions in order to prevent the complications and improve the prognosis.

【 授权许可】

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