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Adrenal pheochromocytoma with involvement of aorta and left renal artery: salvaged with adrenalectomy and nephrectomy
  1. Shekhar Sathaye1,
  2. Kalpesh Mahesh Parmar1,
  3. Santosh Kumar1 and
  4. Pulkit Rastogi2
  1. 1 Urology, PGIMER, Chandigarh, India
  2. 2 Histopathology, PGIMER, Chandigarh, India
  1. Correspondence to Dr Kalpesh Mahesh Parmar; kalpesh010385{at}gmail.com

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.

  • urology
  • urological surgery
  • radiology
  • medical education
  • adrenal disorders

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Footnotes

  • Contributors SS and KMP: concept, design, data collection, initial draft. SK: critical comments. PR: histology images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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