ADRENAL GANGLIONEUROMA TREATED BY LAPAROSCOPIC ADRENALECTOMY—A CASE REPORT—

Abstract

A 22-year-old man was admitted to our hospital because of acute gastroenteritis. Abdominal ultrasonography incidentally detected a right adrenal mass. The laboratory data showed a slightly elevated serum noradrenaline level, and selective blood sampling from the right adrenal vein revealed very high catecholamine levels. Abdominal ultrasonography showed a well-defined 5.5×2.7 cm hypoechoic mass with smooth surface, regular margin, and homogeneous inner portion in the right adrenal gland. Abdominal CT scan demonstrated a 5×5×3 cm low-density mass in the right adrenal gland. A preoperative diagnosis of a tumor of the right adrenal gland was made, and laparoscopic adrenalectomy was performed. The resected tumor was a white solid mass on section, and the pathological diagnosis was ganglioneuroma. The patient was discharged from our hospital on the 7th postoperative day and his postoperative course has been uneventful.