title: Intraperitoneal accessory spleen and adrenal myelolipoma:  removal by simultaneous bilateral posterior retroperitoneoscopy.
abstract: Posterior retroperitoneoscopic approach (PRA) has become an established procedure for retroperitoneal lesions. The authors encountered a 30-year-old male patient who had β-thalassemia major and received splenectomy 15 years previously. Bilateral suprarenal tumors were noted on follow-up sonography. Subsequent computed tomography of the abdomen showed a right adrenal tumor and a left intraperitoneal lesion with homogenous enhancement. Successful bilateral PRA was performed, and histology confirmed the diagnosis of right adrenal myelolipoma and an accessory spleen. For the present case who had a large abdominal scar, PRA is technically feasible for treating patients with intraperitoneal and/or retroperitoneal suprarenal lesions while eliminating the necessity of dissection for intra-abdominal adhesions and patient repositioning for bilateral lesions.
authors: Department of Surgery, College of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors: Zong-Syun
authors: ZS
authors: Wu
authors: Shyh-Shin
authors: SS
authors: Chiou
authors: Jui-Ying
authors: JY
authors: Lee
authors: Yu-Tang
authors: YT
authors: Chang
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000601:surgery*; D000328:Adult; D016063:Blood Loss, Surgical; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D018209:Myelolipoma / Q000150:complications / Q000601:surgery*; D061646:Operative Time; D013154:Spleen / Q000002:abnormalities* / Q000601:surgery; D013156:Splenectomy / Q000379:methods; D017086:beta-Thalassemia / Q000150:complications