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Metanephrine mirage: distinguishing the phaeocopies, a case report and literature review.
Clin Diabetes Endocrinol
November 2024
Department of Endocrinology and Diabetes, Western Health, 176 Furlong Rd, St Albans, VIC, 3021, Australia.
Background: We present one of only seven reported cases of a catecholamine-secreting adrenal neuroblastoma in an adult. The case is used as a platform to discuss key biochemical, genomic and imaging considerations that are central to the successful, targeted management of catecholamine-secreting adrenal tumours.
Case Presentation: A 63-year-old male was urgently reviewed at a tertiary hospital endocrinology outpatient clinic for a 12 cm right-sided adrenal incidentaloma.
Outpatient Robotic Urological Surgery: An Evidence-based Analysis.
Eur Urol Focus
October 2024
Department of Urology, Rush University, Chicago, IL, USA. Electronic address:
Article Synopsis
- Minimally invasive surgery offers shorter hospital stays, enabling the potential for outpatient (OP) procedures, especially with the introduction of single-port (SP) robotic techniques in urology.
- A literature review analyzed the safety and feasibility of OP robotic urological surgeries, revealing high same-day discharge rates and lower complication risks compared to inpatient procedures.
- Overall, the study concludes that outpatient robotic urological surgery is both feasible and safe for selected patients, with SP-RARP procedures showing even better outcomes than multiport options.
Cryptococcal invasion: a comprehensive case of adrenal and systemic infection amid immunosuppression.
BMC Infect Dis
October 2024
Department of Urology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Jixi Road 218, Shushan District, Hefei, Anhui, 230022, China.
Article Synopsis
- - The case report discusses a patient with disseminated cryptococcosis, a rare fungal infection affecting the lungs and central nervous system, complicated by meningitis and pneumonia, along with unusual adrenal involvement.
- - This patient was immunosuppressed due to primary myelofibrosis and Ruxolitinib treatment, showing significant findings in imaging scans that led to the discovery of adrenal cryptococcosis through surgical intervention and pathology.
- - After a month of oral antifungal treatment, including amphotericin B and other medications, the patient showed improved outcomes with reduced antigen levels and no signs of recurrence during follow-up visits.
Feasibility of outpatient laparoscopic adrenalectomy for primary aldosteronism.
Fr J Urol
September 2024
Department of Urology, Bordeaux Pellegrin University Hospital, Bordeaux, France; University of Bordeaux, Bordeaux, France.
Article Synopsis
- Laparoscopic adrenalectomy (LA) is a minimally invasive surgery that has become the preferred treatment for adrenal diseases, but its use in outpatient settings is still not widespread.
- A study reviewed 76 LA procedures for primary aldosteronism (PA) conducted between 2013-2021, with 60 being outpatient procedures; these had a success rate of 95% and no readmissions within 48 hours.
- Results showed low pain levels (average of 2.1/10) and high patient satisfaction (average of 9.4/10) after one day, with over half of patients cured or improved after six months, indicating outpatient LA is both feasible and effective for managing PA.
Single-Incision Retroperitoneal Laparoscopic Resection of Adrenal Tumors in Children.
J Pediatr Surg
December 2024
Department of Thoracic Surgery & Surgical Oncology, Affiliated Children's Hospital of Capital Institute of Pediatrics, Beijing, China; Research Unit of Minimally Invasive Pediatric Surgery on Diagnosis and Treatment (2021RU015), Chinese Academy of Medical Sciences, Beijing, China. Electronic address:
Background: We describe our experience with single-incision retroperitoneal laparoscopic (SIRL) for resection of adrenal tumors in pediatric patients and discuss the technique's clinical value.
Methods: We retrospectively analyzed clinical data of 27 pediatric patients who underwent SIRL between January 2020 and September 2023. Patients with tumors >5 cm in size and those requiring vascular skeletonization surgery or extensive lymph node dissection were excluded.
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