title: Laparoscopic management of an adrenal leiomyoma in an AIDS patient. A case report and review of the literature.
abstract: OBJECTIVE
  Laparoscopic management of adrenal masses has been well described. Immunologically compromised patients can obtain significant benefit from these minimally invasive procedures. We describe a case of an enlarging smooth muscle tumor of the adrenal gland in an acquired immunodeficiency syndrome (AIDS) patient and review the sparse literature available on this subject.
  
  
  METHODS
  A 49-year-old female with AIDS complaining of vague abdominal discomfort was found to have a left adrenal mass. Significant enlargement of the mass was noted during routine follow-up. The patient underwent an elective laparoscopic left adrenalectomy without complications. Pathological review found the mass to be a rare adrenal leiomyoma.
  
  
  CONCLUSIONS
  Benign, smooth muscle tumors arising from the adrenal glands are rare. A review of the literature does reveal a propensity for these tumors to occur in the immunocompromised population.
  
  
  CONCLUSIONS
  The ability to manage these tumors laparoscopically is of significant benefit to patients.
authors.affiliation: Department of Surgery, Montefiore Institute for Minimally Invasive Surgery, Albert Einstein College of Medicine, Bronx, New York 10467, USA. kgibbs@montefiore.org
authors.forename: Karen E
authors.initials: KE
authors.lastname: Gibbs
authors.forename: Alan
authors.initials: A
authors.lastname: White
authors.forename: Ronald
authors.initials: R
authors.lastname: Kaleya
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000601:surgery*; D000315:Adrenalectomy; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000150:complications / Q000601:surgery*; D008875:Middle Aged