Synchronized Laparoscopic Bilateral Adrenalectomy for Pheochromocytoma in Multiple Endocrine Neoplasia Syndrome: A Case Report

Pheochromocytomas are tumors producing catecholamines that arise from chromaffin cells in the adrenal medulla. They are usually benign in multiple endocrine neoplasia type 2 (MEN2) syndrome, but they tend to present bilaterally in 50–80% of the patients. Few researchers have reported success with si...

Full description

Saved in:
Bibliographic Details
Published in:Journal of kidney cancer and VHL 2022-09, Vol.9 (3), p.24-28
Main Authors: Eslahi, Ali, Zeighami, Shahryar, Ahmed, Faisal, Hosseini, Seyed Hossein, Ebrahimi, Bahareh, Anbardar, Mohammad Hossein
Format: Article
Language:English
Subjects:
Abdomen
Adrenal glands
adrenalectomy
Adrenergic receptors
Blood pressure
Body mass index
Cancer
Case Report
Case reports
Catecholamines
Hypertension
laparoscopic
Laparoscopy
Neuroendocrine tumors
Panic attacks
Patients
pheochromocytoma
Surgery
Surgical outcomes
Thyroid gland
Tumors
Urology
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pheochromocytomas are tumors producing catecholamines that arise from chromaffin cells in the adrenal medulla. They are usually benign in multiple endocrine neoplasia type 2 (MEN2) syndrome, but they tend to present bilaterally in 50–80% of the patients. Few researchers have reported success with simultaneous laparoscopic bilateral adrenalectomy. Hence, we report a 48-year-old woman who presented with a panic attack, headache, and abdominal discomfort that had started 10 years ago. The computed tomography (CT) scan showed a large bilateral cystic lesion in both adrenal glands in favor of pheochromocytomas (30 × 22 mm and 18 × 15 mm on the right side and 40 × 33 mm and 35 × 28 mm on the left side). The patient underwent bilateral laparoscopic adrenalectomy without intraoperative or postoperative complications. The total blood loss was 50 cc, and the operative time was 4 h. The histopathology of the specimen revealed pheochromocytomas of adrenal masses. In conclusion, our case demonstrates that synchronized laparoscopic bilateral adrenalectomy can be a safe and feasible treatment option for pheochromocytomas in MEN2 patients.
ISSN:2203-5826
2203-5826
DOI:10.15586/jkcvhl.v9i3.239