An incidental finding behind adrenal incidentaloma
A 61-year-old man went to the Emergency Department with left upper abdominal quadrant pain and low-grade fever, as well as a loss of weight (3 kg in 6 weeks). A solid-cystic lesion in the left adrenal lodge was discovered by abdominal ultrasonography. A slight increase in the serum amylase with norm...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Bioscientifica
2022-06-01
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| Series: | Endocrinology, Diabetes & Metabolism Case Reports |
| Online Access: | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0255.xml |
| _version_ | 1811336442535739392 |
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| author | Filippo Crimì Giulio Barbiero Irene Tizianel Laura Evangelista Filippo Ceccato |
| author_facet | Filippo Crimì Giulio Barbiero Irene Tizianel Laura Evangelista Filippo Ceccato |
| author_sort | Filippo Crimì |
| collection | DOAJ |
| description | A 61-year-old man went to the Emergency Department with left upper abdominal quadrant pain and low-grade fever, as well as a loss of weight (3 kg in 6 weeks). A solid-cystic lesion in the left adrenal lodge was discovered by abdominal ultrasonography. A slight increase in the serum amylase with normal lipase was observed, but there were no signs or symptoms of pancreatitis. A contrast-enhanced CT revealed a tumor that was suspected of adrenocortical cancer. Therefore, he was referred to the endocrine unit. The hormonal evaluation revealed no signs of excessive or inadequate adrenal secretion. To characterize the mass, an MRI was performed; the lesion showed an inhomogeneous fluid collection with peripheral wall contrast-enhancement, as well as a minor 18-fluorodeoxyglucose uptake at PET/CT images. The risk of primary adrenal cancer was minimal after the multidisciplinary discussion. An acute necrotic collection after focal pancreatitis was suspected, according to the characteristics of imaging. Both CT-guided drainage of the necrotic accumulation and laboratory analysis of the aspirated fluid confirmed the diagnosis. |
| first_indexed | 2024-04-13T17:39:32Z |
| format | Article |
| id | doaj.art-4303575c2d4945889375581f7272c666 |
| institution | Directory Open Access Journal |
| issn | 2052-0573 |
| language | English |
| last_indexed | 2024-04-13T17:39:32Z |
| publishDate | 2022-06-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | Endocrinology, Diabetes & Metabolism Case Reports |
| spelling | doaj.art-4303575c2d4945889375581f7272c6662022-12-22T02:37:14ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732022-06-01111410.1530/EDM-22-0255An incidental finding behind adrenal incidentalomaFilippo Crimì0Giulio Barbiero1Irene Tizianel2Laura Evangelista3Filippo Ceccato4Department of Medicine DIMED, University of Padova, Padova, Italy; Institute of RadiologyInstitute of RadiologyDepartment of Medicine DIMED, University of Padova, Padova, Italy; Endocrine Disease UnitDepartment of Medicine DIMED, University of Padova, Padova, Italy; Nuclear Medicine Unit, University-Hospital of Padova, Padova, ItalyDepartment of Medicine DIMED, University of Padova, Padova, Italy; Endocrine Disease UnitA 61-year-old man went to the Emergency Department with left upper abdominal quadrant pain and low-grade fever, as well as a loss of weight (3 kg in 6 weeks). A solid-cystic lesion in the left adrenal lodge was discovered by abdominal ultrasonography. A slight increase in the serum amylase with normal lipase was observed, but there were no signs or symptoms of pancreatitis. A contrast-enhanced CT revealed a tumor that was suspected of adrenocortical cancer. Therefore, he was referred to the endocrine unit. The hormonal evaluation revealed no signs of excessive or inadequate adrenal secretion. To characterize the mass, an MRI was performed; the lesion showed an inhomogeneous fluid collection with peripheral wall contrast-enhancement, as well as a minor 18-fluorodeoxyglucose uptake at PET/CT images. The risk of primary adrenal cancer was minimal after the multidisciplinary discussion. An acute necrotic collection after focal pancreatitis was suspected, according to the characteristics of imaging. Both CT-guided drainage of the necrotic accumulation and laboratory analysis of the aspirated fluid confirmed the diagnosis.https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0255.xml |
| spellingShingle | Filippo Crimì Giulio Barbiero Irene Tizianel Laura Evangelista Filippo Ceccato An incidental finding behind adrenal incidentaloma Endocrinology, Diabetes & Metabolism Case Reports |
| title | An incidental finding behind adrenal incidentaloma |
| title_full | An incidental finding behind adrenal incidentaloma |
| title_fullStr | An incidental finding behind adrenal incidentaloma |
| title_full_unstemmed | An incidental finding behind adrenal incidentaloma |
| title_short | An incidental finding behind adrenal incidentaloma |
| title_sort | incidental finding behind adrenal incidentaloma |
| url | https://edm.bioscientifica.com/view/journals/edm/2022/1/EDM22-0255.xml |
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