Key result
Laparoscopic adrenalectomy was safely and successfully performed to excise a 16 cm giant adrenal myelolipoma without intra- or post-operative complications.
Why the study?
Giant adrenal myelolipoma exceeding 10 cm is typically treated with an open surgical approach.
Case Report (n=1)
Laparoscopic adrenalectomy can be a safe and feasible approach for the excision of giant adrenal myelolipomas when performed by an expert surgeon.
May support laparoscopic excision of selected giant adrenal myelolipomas by experts; hypothesis-generating case report requiring larger series.
CASE PRESENTATION: We describe a case of a patient who presented with a mildly symptomatic, giant myelolipoma which was excised by laparoscopic approach without complications. INTRODUCTION AND IMPORTANCE: Adrenal myelolipoma (AML) is a rare tumour composed by fat and myeloid tissues. Usually it is asymptomatic, so the diagnosis is mostly incidental. It is generally located in the right adrenal gland, but it can also be found bilaterally. If its size exceeds 10 cm it is defined as a "giant myelolipoma"; in this case its treatment of choice would be adrenalectomy with an open surgical approach. CLINICAL DISCUSSION: Patient's signs and symptoms were mild pain in the right hypochondrium and a positive right Giordano's sign. The mass was detected by a contrast-enhanced CT scan. Once excised it measured 16 cm. CONCLUSION: Laparoscopic adrenalectomy for giant myelolipoma is a safe approach if performed by an expert surgeon, with low risk of bleeding and a better outcome for the patient.
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Tinozzi et al. (2021) conducted a case report in Giant adrenal myelolipoma (n=1). Laparoscopic adrenalectomy was evaluated on Successful excision without complications. Laparoscopic adrenalectomy was safely and successfully performed to excise a 16 cm giant adrenal myelolipoma without intra- or post-operative complications.
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