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Case Reports
. 2024 Jun 28:55:102784.
doi: 10.1016/j.eucr.2024.102784. eCollection 2024 Jul.

Surgical removal of a giant non-functional adrenal mass: A case report

Fariborz Bagheri  1   2 , Elham Mahjoor Azad  3 , Kais Kotiesh  1 , Abdulmunem Alsadi  1 , Shaima Marwan  1 , Amr Elmekresh  1 , Mohammad Alhamad  1 , Ahmad Carim Bacor  4 , Khalid Saleh Abuamra  4 , Alaaeldin Bashier  5 , Ayman Saleh  6 , Hassan Hotait  7
Affiliations
Case Reports

Surgical removal of a giant non-functional adrenal mass: A case report

Fariborz Bagheri et al. Urol Case Rep. .

Abstract

This case report describes the surgical management of a giant left adrenal mass (27 x 26 × 27 cm, 9.370 kg) in a 69-year-old female. We review the multidisciplinary decision-making process for pre-operative preparation, embolization, resection feasibility, and strategies to mitigate intra-operative complications. This is the largest adrenal adenoma removal reported to date. The case highlights the importance of meticulous surgical planning and execution in managing rare and challenging cases, with significant implications for patient outcomes.

Keywords: Adrenal adenoma; Adrenal mass; Giant adrenal adenoma; Huge adrenal tumor.

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Figures

Fig. 1
Fig. 1
Large mass causing significant abdominal distension.
Fig. 2
Fig. 2
CT scan showing the huge left adrenal mass compressing the left kidney to the lower pelvis and the spleen to the anterior abdominal wall.
Fig. 3
Fig. 3
Chevron skin incision and anterior abdominal organs.
Fig. 4
Fig. 4
Main adrenal vein occluded with Hem-o-lok clips.
Fig. 5
Fig. 5
Capsule with underlying hemorrhagic tumor. H&E stain, 4x.
See this image and copyright information in PMC

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