title: Is size really a contraindication for laparoscopic resection of giant adrenal myelolipomas?
abstract: A 55-year-old non-diabetic, normotensive man presented with dull aching pain in the left upper abdomen of 2-year duration. He had no significant medical, surgical or family history. Relevant blood tests and chest skiagram were normal. 24 h urinary vanillylmandelic acid levels and serum electrolyte levels were normal. Ultrasonogram and CT findings were suggestive of a 15 × 11 cm giant left adrenal myelolipoma. A left adrenalectomy was performed using a laparoscopic transperitoneal approach employing three ports. Pneumoperitoneum was achieved by this closed method. After successful excision, the internal contents were suctioned and the capsule was retrieved through a 2.5 cm incision. The operating time was 210 min and total blood loss 50-60 mL; no blood transfusions were needed. The patient was discharged on the third postoperative day. Histopathology confirmed an adrenal myelolipoma. The cited case is of the largest adrenal myelolipoma resected entirely using a laparoscopic approach.
authors.affiliation: Urology & Andrology Clinic, Bhopal, Madhya Pradesh, India.
authors.forename: Ranjit
authors.initials: R
authors.lastname: Chaudhary
authors.affiliation: Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India.
authors.forename: Abhijeet
authors.initials: A
authors.lastname: Deshmukh
authors.affiliation: People's College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
authors.forename: Kulwant
authors.initials: K
authors.lastname: Singh
authors.affiliation: LN Medical College and Research Centre, Bhopal, Madhya Pradesh, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Biswas
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000075202:Contraindications; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D018209:Myelolipoma / Q000601:surgery*