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Adrenal pheochromocytoma with involvement of aorta and left renal artery: salvaged with adrenalectomy and nephrectomy. | LitMetric

AI Article Synopsis

  • Large adrenal pheochromocytomas that wrap around the renal artery are uncommon and require surgical removal for treatment.
  • A case study involves a 41-year-old man with a left adrenal pheochromocytoma completely encasing his left renal artery and partially surrounding the aorta.
  • The surgical approach included open left adrenalectomy and nephrectomy after proper preoperative preparation, and the patient showed good recovery after six months.

Article Abstract

Large adrenal pheochromocytomas encasing the renal artery are a rare entity. The management of such challenging cases is surgical resection. The involvement of renal tissue and renal artery may necessitate meticulous dissection and concomitant nephrectomy. Here, we present a case of 41-year-old man diagnosed with left adrenal pheochromocytoma with complete encasement of left renal artery and partial encasement of aorta. Open left adrenalectomy and nephrectomy was performed after adequate preoperative optimisation. The patient is doing well at 6-month follow-up. Large adrenal pheochromocytoma with renal involvement is a rare presentation and requires optimal preoperative imaging, adequate preoperative alpha and beta blockade and meticulous surgical technique.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8438742PMC
http://dx.doi.org/10.1136/bcr-2021-244297DOI Listing

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