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| Misdiagnosis of left adrenal gland occupying was reported in one case and literature review |
| BAO Shiqi YI Faxian REN Chao |
| Department of Urinary Surgery, Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Autonomous Region, Hohhot 010000, China |
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Abstract To explore the reasons for misdiagnosis and preventive measures of space-occupying lesions in the left adrenal gland area, improve the level of diagnosis and treatment, and broaden the diagnosis ideas. This article retrospectively analyzes the clinical data of a patient with left adrenal area occupying in the Department of Urology, Affiliated Hospital of Inner Mongolia Medical University, preoperative serum cortisol, aldosterone, adrenal enhanced CT and ultrasound were analyzed, and relevant literature was reviewed and referenced. To provide clinical diagnosis and treatment experience for left adrenal space occupying lesions. In this case, the left adrenal accessory spleen was misdiagnosed as a left adrenal adenoma before the operation, and the left adrenal accessory spleen was found during laparoscopic surgery. The left adrenal gland was resected during the operation and the accessory splenectomy was not performed. The postoperative pathological report was nodular hyperplasia of the left adrenal cortex. As the differential diagnosis of adrenal adenoma, accessory spleen and adrenal nodularhyperplasia in the adrenal area is clinically rare, but it should cause high attention. Through comprehensive patient clinical symptoms and rational application of imaging evaluation programs, careful consideration can reduce misdiagnosis and standardize diagnosis and treatment.
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