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Robotic-assisted left adrenal cystic mass excision in a pregnant patient
  1. Nicholas Tyler Champion1,
  2. Diego Monasterio1,
  3. Indraneil Mukherjee1 and
  4. Antonio Picon2
  1. 1Surgery, Staten Island University Hospital, Staten Island, New York, USA
  2. 2Surgery, Stamford Health Medical Group, Stamford, Connecticut, USA
  1. Correspondence to Dr Nicholas Tyler Champion; nchampion1{at}northwell.edu

Abstract

A symptomatic adrenal mass diagnosed during pregnancy is a rare clinical scenario. Two primary considerations are the timing of intervention and determining the appropriate surgical approach. Here, we present the case of a young female patient with flank pain, whom on diagnostic imaging, was found to have a large cystic adrenal mass. She was taken for a robotic-assisted resection of her left-sided adrenal mass during the second trimester of pregnancy. Preoperative and postoperative assessment demonstrated a viable intrauterine pregnancy. She tolerated the procedure well and was discharged 5 days later with resolution of her symptoms on follow-up. As one of only three reported cases of robotic adrenal surgery during pregnancy, we demonstrate that a robotic-assisted surgical approach is a viable and durable surgical option under the given clinical circumstances.

  • Adrenal disorders
  • Pregnancy
  • General surgery
  • Surgical oncology

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Footnotes

  • Contributors Supervised by AP and IM. Patient was under the care of AP, IM and NTC. Report was written by NTC and DM.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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