title: Artificial paravertebral widening for percutaneous CT-guided adrenal biopsy.
abstract: A percutaneous adrenal biopsy under CT guidance is described. The biopsy was performed after injection of physiologic saline solution into the paravertebral space, creating a wider pathway for needle insertion. This technique has been previously reported for biopsy of thoracic lesions, but in our case it was used for biopsy of a relatively inaccessible adrenal lesion. This artificial window that is formed by displacing the pleura laterally allows a direct and potentially safer access route to the retroperitoneum, avoiding puncture of pleura, diaphragm, and abdominal structures.
authors.affiliation: Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Karampekios
authors.forename: A A
authors.initials: AA
authors.lastname: Hatjidakis
authors.forename: J
authors.initials: J
authors.lastname: Drositis
authors.forename: N
authors.initials: N
authors.lastname: Gourtsoyiannis
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000473:pathology; D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D000311:Adrenal Glands / Q000000981:diagnostic imaging / Q000473:pathology*; D000368:Aged; D001707:Biopsy, Needle / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008159:Lumbar Vertebrae; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D009339:Needles; D010994:Pleura; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed