Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging

Key Clinical Message Gastric diverticulum in the posterior wall of the stomach is very rare, and it is easy to be misdiagnosed as a left adrenal mass on imaging. Therefore, we must consider the possibility of gastric diverticulum when diagnosing a left adrenal mass. Abstract This paper reports a cas...

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Main Authors: Jing‐Yan Zhang, Chenchen Qian, Chun‐Wu Pan
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8414
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author Jing‐Yan Zhang
Chenchen Qian
Chun‐Wu Pan
author_facet Jing‐Yan Zhang
Chenchen Qian
Chun‐Wu Pan
author_sort Jing‐Yan Zhang
collection DOAJ
description Key Clinical Message Gastric diverticulum in the posterior wall of the stomach is very rare, and it is easy to be misdiagnosed as a left adrenal mass on imaging. Therefore, we must consider the possibility of gastric diverticulum when diagnosing a left adrenal mass. Abstract This paper reports a case of gastric diverticulum that was misdiagnosed as a left adrenal mass on abdominal enhanced CT. The patient underwent laparoscopic adrenalectomy, but there was no mass in the left adrenal found during surgery. After the incision of the retroperitoneum, a cystic mass was found adjacent to the posterior gastric wall which turned out to be gastric diverticulum. This case suggests that gastric diverticulum, a rare disease, may be interpreted as an adrenal mass on imaging. Therefore, as a urologist, the gastric diverticulum must be excluded when CT suggests a mass in the left adrenal region.
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spelling doaj.art-aa1084f0bd994fb8a0d267d30b01d3d22024-02-02T03:36:32ZengWileyClinical Case Reports2050-09042024-01-01121n/an/a10.1002/ccr3.8414Misdiagnosed gastric diverticulum as a left adrenal lesion on imagingJing‐Yan Zhang0Chenchen Qian1Chun‐Wu Pan2Department of Urology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaInternal Medicine Department Oklahoma University Medical Center Oklahoma City Oklahoma USADepartment of Urology, Renji Hospital, School of Medicine Shanghai Jiao Tong University Shanghai ChinaKey Clinical Message Gastric diverticulum in the posterior wall of the stomach is very rare, and it is easy to be misdiagnosed as a left adrenal mass on imaging. Therefore, we must consider the possibility of gastric diverticulum when diagnosing a left adrenal mass. Abstract This paper reports a case of gastric diverticulum that was misdiagnosed as a left adrenal mass on abdominal enhanced CT. The patient underwent laparoscopic adrenalectomy, but there was no mass in the left adrenal found during surgery. After the incision of the retroperitoneum, a cystic mass was found adjacent to the posterior gastric wall which turned out to be gastric diverticulum. This case suggests that gastric diverticulum, a rare disease, may be interpreted as an adrenal mass on imaging. Therefore, as a urologist, the gastric diverticulum must be excluded when CT suggests a mass in the left adrenal region.https://doi.org/10.1002/ccr3.8414CT imaginggastric diverticulumleft adrenal lesionmisdiagnosistreatment
spellingShingle Jing‐Yan Zhang
Chenchen Qian
Chun‐Wu Pan
Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
Clinical Case Reports
CT imaging
gastric diverticulum
left adrenal lesion
misdiagnosis
treatment
title Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
title_full Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
title_fullStr Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
title_full_unstemmed Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
title_short Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
title_sort misdiagnosed gastric diverticulum as a left adrenal lesion on imaging
topic CT imaging
gastric diverticulum
left adrenal lesion
misdiagnosis
treatment
url https://doi.org/10.1002/ccr3.8414
work_keys_str_mv AT jingyanzhang misdiagnosedgastricdiverticulumasaleftadrenallesiononimaging
AT chenchenqian misdiagnosedgastricdiverticulumasaleftadrenallesiononimaging
AT chunwupan misdiagnosedgastricdiverticulumasaleftadrenallesiononimaging