Adrenal lymphangioma removed by a retroperitoneoscopic procedure

Area of Science:

• Urology
• Surgical Oncology
• Endocrinology

Background:

• Adrenal masses are often incidentally discovered.
• Lymphangiomas are rare benign tumors that can occur in various locations, including the adrenal gland.
• Cystic adrenal lesions require accurate diagnosis and appropriate management.

Purpose of the Study:

• To report a case of incidentally detected adrenal lymphangioma.
• To describe the successful surgical removal of an adrenal lymphangioma using retroperitoneal laparoscopy.
• To highlight the diagnostic and therapeutic approach for adrenal cystic masses.

Main Methods:

• A 45-year-old female patient with an incidentally detected adrenal mass underwent imaging studies.
• Abdominal ultrasonography (US) and computed tomography (CT) scans were utilized for characterization of the adrenal mass.
• The patient was treated with retroperitoneal laparoscopic tumor removal.

Main Results:

• Imaging revealed a 3.0 cm left adrenal cystic mass, initially suspected to be an adrenal cyst.
• Pathological evaluation confirmed the diagnosis of a cystic lymphangioma of the left adrenal gland.
• The retroperitoneal laparoscopic approach facilitated successful tumor resection.

Conclusions:

• Adrenal lymphangioma is a rare differential diagnosis for adrenal cystic masses.
• Retroperitoneal laparoscopy is a feasible and effective minimally invasive surgical technique for adrenal lymphangioma removal.
• Multimodality imaging plays a crucial role in the preoperative assessment of adrenal lesions.