title: Clinically inapparent bilateral adrenal masses due to histoplasmosis.
abstract: Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients.
authors.affiliation: Department of Urology, Army Hospital (Research and Referral), Delhi Cantt, Delhi, India. drvineetnarang@hotmail.com
authors.forename: Vineet
authors.initials: V
authors.lastname: Narang
authors.forename: Tapan
authors.initials: T
authors.lastname: Sinha
authors.forename: Arjun S
authors.initials: AS
authors.lastname: Sandhu
authors.forename: Shailesh C
authors.initials: SC
authors.lastname: Karan
authors.forename: Ananad
authors.initials: A
authors.lastname: Srivastava
authors.forename: Gurwinder S
authors.initials: GS
authors.lastname: Sethi
authors.forename: Raghav
authors.initials: R
authors.lastname: Talwar
authors.forename: P
authors.initials: P
authors.lastname: Prusty
authors.forename: Narinder
authors.initials: N
authors.lastname: Kotwal
authors.forename: Nirupam
authors.initials: N
authors.lastname: Adlakha
authors.forename: Anil
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology* / Q000601:surgery*; D000315:Adrenalectomy; D000935:Antifungal Agents / Q000627:therapeutic use; D019788:Fluorodeoxyglucose F18; D006660:Histoplasmosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D049268:Positron-Emission Tomography; D011239:Prednisolone / Q000627:therapeutic use; D013172:Spores, Fungal / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D019788:Fluorodeoxyglucose F18; D017964:Itraconazole; D011239:Prednisolone