Clinically inapparent bilateral adrenal masses due to histoplasmosis.
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.
Narang
Vineet
V
Department of Urology, Army Hospital (Research and Referral), Delhi Cantt, Delhi, India. drvineetnarang@hotmail.com
Sinha
Tapan
T
Sandhu
Arjun S
AS
Karan
Shailesh C
SC
Srivastava
Ananad
A
Sethi
Gurwinder S
GS
Talwar
Raghav
R
Prusty
P
P
Kotwal
Narinder
N
Adlakha
Nirupam
N
Aggarwal
Anil
A
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
D000935:Antifungal Agents; D019788:Fluorodeoxyglucose F18; D017964:Itraconazole; D011239:Prednisolone