J Korean Med Sci.  2022 Oct;37(39):e278. 10.3346/jkms.2022.37.e278.

Missed Ipsilateral Adrenal Adenoma With Recurrent Hypercortisolism After Prior Left Adrenalectomy

• Kim J
• Kim HK
• Chung CH

• KMID: 2534025
• DOI: http://doi.org/10.3346/jkms.2022.37.e278

Figure

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  Fig. 1 Computed tomography images before the first adrenalectomy. (A) Axial view of first adrenal mass, which underwent surgical resection. (B) Axial view of ipsilateral additional adrenal mass. (C) Coronal view.

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  Fig. 2 Level of 24-hour urine free cortisol (μg/dL). (A) First left adrenalectomy (December 12, 2004). (B) Second left adrenalectomy (February 17, 2015).

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  Fig. 3 Following CT images 1 week after second adrenalectomy showing left adrenal gland removed state with hematoma (8.2 × 4.9 × 7.8 cm) in left anterior pararenal space. (A) Axial view of post-operation state of second adrenalectomy. (B) Axial view of post-operation state of second adrenalectomy. (C) Coronal view.

Reference

1. Kim KH, Kim KH, Ryu HY, Nam SM, Lee MY, Koh JH, et al. A case of adrenocortical adenoma causing subclinical cushing’s syndrome mistaken for Liddle’s syndrome. J Korean Endocr Soc. 2006; 21(1):58–62.

2. Ko OS, Kim JY, Kim HJ, Jeong YB. Laparoscopic partial adrenalectomy: surgical technique and outcome. Korean J Urol Oncol. 2019; 17(2):103–109.

3. Raffaelli M, De Crea C, D’Amato G, Gallucci P, Lombardi CP, Bellantone R. Outcome of adrenalectomy for subclinical hypercortisolism and Cushing syndrome. Surgery. 2017; 161(1):264–271. PMID: 27865591.