Retroperitoneal gastric hernia misdiagnosed as the adrenal tumor: A rare case report

Zhu, Jian; Shi, Zhan; Ni, Jinren; Lin, Qian

doi:10.1016/j.asjsur.2022.04.108

Cited by 1 publication

(1 citation statement)

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“…According to the literature and the experience of surgeons, the main misdiagnosed adrenal masses include the ectopic pancreas, pancreatic tail tumors, pancreatic cysts, accessory spleen, gastric diverticulum, retro‐abdominal gastric hernia, neurilemmoma, and retroperitoneal bronchial cysts. 3 , 4 , 5 , 6 , 7 , 8 , 9 It is difficult to make an accurate preoperative diagnosis due to the proximity of the anatomic structures, especially on the left side.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosed gastric diverticulum as a left adrenal lesion on imaging

Zhang,

Qian,

Pan

2024

Clinical Case Reports

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Key Clinical MessageGastric 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.AbstractThis 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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