Clinically inapparent bilateral adrenal masses due to histoplasmosis

Eur Urol. 2009 Feb;55(2):518-21. doi: 10.1016/j.eururo.2008.09.005. Epub 2008 Sep 17.

Abstract

Detection of bilateral adrenal masses in any patient often presents a management dilemma. Despite extensive imaging, positron emission tomography (PET) scanning, and fine needle aspiration biopsy (FNAB), a definite diagnosis may not be reached. We report an unusual case of bilateral adrenal mass diagnosed as histoplasmosis postoperatively and managed successfully by laparoscopy. Focus is placed on the role of laparoscopic adrenalectomy (LA) as a diagnostic and therapeutic tool in such patients.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Diseases / diagnostic imaging
  • Adrenal Gland Diseases / etiology*
  • Adrenal Gland Diseases / pathology*
  • Adrenal Gland Diseases / surgery*
  • Adrenalectomy
  • Antifungal Agents / therapeutic use
  • Fluorodeoxyglucose F18
  • Histoplasmosis / diagnosis*
  • Histoplasmosis / drug therapy
  • Histoplasmosis / pathology
  • Histoplasmosis / surgery
  • Humans
  • Itraconazole / therapeutic use
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Positron-Emission Tomography
  • Prednisolone / therapeutic use
  • Spores, Fungal / isolation & purification
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Fluorodeoxyglucose F18
  • Itraconazole
  • Prednisolone