Laparoscopic Management of Giant Cystic Feocromocytoma. Rare Case in Iv Level Clinic in Colombia


INTRODUCTION: Adrenal cysts are rare, its incidence is from 0.064 to 0.18%. Although most non-functioning adrenal cysts are asymptomatic, they can reach sufficient size to produce nonspecific abdominal symptoms, back pain or hypertension. pheochromocytomas are hipervascularizadasque lesions in 90% of cases, produce hypertension. Usually reported as solid lesions, due to its hypervascularization, they may have areas with focal or partial cystic degeneration.

MAIN: To describe the case of a patient with cystic pheochromocytoma which was given laparoscopic management

METHODS: Female patient of 59 years that started 2 years ago by weight loss studies, made tomography and abut a mixed 6x5x5 cm right adrenal incidentaloma. Relizan which metanephrines are elevated, aldosterone renin normally. That is to run in conjunction with endocrinology, alfabloqueo starts and is scheduled for laparoscopic adrenalectomy. At the time taking two antihypertensive with difficult control of blood pressure

RESULTS: four-port technique in left lateral decubitus, a mass with a cystic component of 95% of 6X7 cm is observed. during surgery the patient presented mean arterial pressures of 180 and 200 were controlled by anesthesiology after clipar adrenal vein tendency to hypotension.He was transferred to ICU. 1 day stay in ICU after 1 day on the floor and discharged with half the dose of antihypertensive

Pathology: pheochromocytoma, positive markers: chromogranin siaptofisina, NSE, S-100, vimentin. Metanephrines at 4 weeks of negative surgery

CONCLUSION: ystic  pheochromocytomas are uncommon injuries that have specific imaging characteristics that associated with clinical and laboratory data allowed to board a diagnosis. The treatment is surgical, and laparoscopy offers a very good alternative in terms of patient recovery.

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