Heterotopic pancreatic tail appearing as adrenal mass in a patient with left pelvic kidney.
A computed tomography scan of a 30-year-old male patient with hematuria incidentally revealed a left pelvic kidney and a lobulated mass in the left adrenal gland concerning for neoplasm. Although laparoscopic adrenalectomy was considered, serial imaging revealed the mass to be the pancreatic tail within the vacant renal fossa. This case demonstrates that ectopia of the kidney can lead to anatomic distortions that may confound the interpretation of radiologic examinations.
Geisel School of Medicine at Dartmouth, Hanover, NH. Electronic address: Fady.m.ghali.med@dartmouth.edu.
Fady
F
Ghali
Section of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Elias S
ES
Hyams
D000015:Abnormalities, Multiple / Q000175:diagnosis*; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis*; D000311:Adrenal Glands; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D010179:Pancreas / Q000002:abnormalities*; D010388:Pelvis