Wang SR, Morris R, Taraif S, Aneja A. Adrenal cortical adenoma arising in the setting of renal-adrenal fusion: a case report and review of the literature.
J Med Case Rep 2023;
17:533. [PMID:
38151746 PMCID:
PMC10753841 DOI:
10.1186/s13256-023-04287-0]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Accepted: 11/28/2023] [Indexed: 12/29/2023] Open
Abstract
BACKGROUND
Renal-adrenal fusion is a rare entity resulting from incomplete encapsulation of the adrenal gland and kidney. Only 18 cases have been reported in English literature to date.
CASE PRESENTATION
Our patient is a 77-year-old African American female who presented with a systolic blood pressure of 200 mmHg. Computed tomography showed an enhancing 9 × 6 cm mass anterior and medial to the left kidney. The patient underwent a left adrenalectomy with partial nephrectomy. Gross and histologic examinations revealed an adrenal cortical adenoma and renal-adrenal fusion.
CONCLUSION
Renal-adrenal fusion may pose a diagnostic challenge, particularly when there is a concurrent adrenal adenoma. It is important to be aware of this uncommon anomaly to avoid misdiagnosis and overtreatment.
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