title: [Bilateral laparoscopic adrenalectomy in ACTH-independent macronodular adrenal hyperplasia: a case report].
abstract: We report a case of ACTH-independent macronodular adrenal hyperplasia (AIMAH). A 62-year-old man was admitted to our hospital for further examination of obesity and diabetes mellitus. He was diagnosed with Cushing's syndrome by endocrinological examinations, and computed tomography and magnetic resonance imaging findings revealed nodular hyperplasia in bilateral adrenal glands, suggesting its etiology to be AIMAH. We underwent simultaneous bilateral laparoscopic adrenalectomy. A preoperative diagnosis of AIMAH was confirmed by histological examination of both adrenal glands, weighing 21 g (right) and 16 g (left). The postoperative course was uneventful. We believe that simultaneous bilateral laparoscopic adrenalectomy is feasible, safe, and results in minimal postoperative morbidity for the treatment of AIMAH.
authors.affiliation: Department of Urology, Gifu University School of Medicine.
authors.forename: Toru
authors.initials: T
authors.lastname: Yamada
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Ishida
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Yokoi
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakano
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Ehara
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ishihara
authors.forename: Takashi
authors.initials: T
authors.lastname: Deguchi
mesh_terms: D000302:Adrenal Cortex / Q000473:pathology* / Q000601:surgery*; D000315:Adrenalectomy; D000324:Adrenocorticotropic Hormone; D003480:Cushing Syndrome / Q000209:etiology; D006801:Humans; D006965:Hyperplasia; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000324:Adrenocorticotropic Hormone