PMC7327872_01
Abdominal distension with stretch marks in a 46 year old male patient (case 1).
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He was a well-developed, well-nourished male with a blood pressure of 150/90 mmHg, a pulse rate of 86 beats/min, weight 90 kg, waist circumference of 112 cm, and an abdominal girth of 180 cm (Fig. 1).
CT urogram showing left adrenal mass (case 1).
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A CT urogram revealed a left adrenal tumor measuring 23.2 x 31.3 mm strongly enhanced with contrast (Fig. 2).
Left adrenalectomy postoperative specimen (A: en bloc, B: opened, C: under 40 objective lens; Acinar glandular trabecular architecture with giant cells having abundant granular cytoplasm) (case 1).
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He benefited from a left subcostal adrenalectomy (Fig. 3) and postoperative corticoid supplementation.
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Abdominal CT urogram showing left renal malroatation and left adrenal mass (case 2).
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An abdominal CT scan (Fig. 4) revealed a left adrenal mass measuring 30 x 19 mm, left renal malrotation with aberrant vascularization.
Left subcostal incision (case 2).
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A left subcostal adrenalectomy (Fig. 5) was performed, and corticosteroid supplementation was initiated.
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Abdominal CT showing left adrenal mass with calcifications (case 3).
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CT scan (Fig. 6) showed a 9 x 8 cm mass with calcifications in the left adrenal region but no metastases.
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Heterogenous right adrenal mass with contrast uptake (case 5).
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An abdominal CT revealed a heterogeneous right adrenal tissue mass of 115 x 83 mm (Fig. 7).
Microscopic view of Pheochromocytoma (case 5).
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There was severe hemodynamic instability during right adrenalectomy for pheochromocytoma confirmed on histopathological examination (Fig. 8).
PMC7327872_06
Buffalo hump (case 6).
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She had facio-truncal obesity, a buffalo hump (Fig. 9) and extensive stretch marks on her arms and thighs.
Abdominal CT showing a left adrenal mass (case 6).
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An abdominal CT showed a left adrenal mass (Fig. 10).
Operative sample of left adrenalectomy in patient (case 6).
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Her pre-op workup was normal and she had left adrenalectomy (Fig. 11).
Lymphorrhoea in colostomy pouch at drainage site (case 6).
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Post-op evolution was marked on day 10 by a low-grade lymphorrhoea (Fig. 12) through the drainage wound.
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CT scan showing left adrenal mass (case 7).
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CT scan (Fig. 13) a 36.4 x 25cm x 34.2cm left adrenal mass. CT done for fever and persistent outflow of a brownish, viscous fluid from the adrenalectomy site confirmed abscess collection of retroperitoneal and pelvic spaces which were drained.
Left adrenal removed (case 7).
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The histopathology revealed an adrenal adenoma (Fig. 14, Fig. 15).