A laparoscopic treatment of a suspicious adrenal mass revealing an unsual cause of adrenal incidentaloma

• Published in: The Pan African medical journal Vol. 34; no. 28; p. 28
• Main Authors: Salhi, Houda, Lamrani, My Youssef Alaoui, Hammas, Nawal, Abdelmalek, Ousadden, El Ouahabi, Hanan
• Format: Journal Article
• Language: English
• Published: Uganda African Field Epidemiology Network 12-09-2019; The African Field Epidemiology Network; The Pan African Medical Journal
• Subjects: Abdomen; Adrenal Gland Neoplasms - diagnosis; Adrenal Gland Neoplasms - surgery; Adrenal glands; adrenal incidentaloma schwannoma; adrenalectomy; Adult; Case Report; Case reports; Humans; Laparoscopy; Laparoscopy - methods; Neurilemmoma - diagnosis; Neurilemmoma - surgery; NMR; Nuclear magnetic resonance; Tumors; Morocco; adrenalectomy; Adrenal Incidentaloma schwannoma
• ISSN: 1937-8688; 1937-8688
• DOI: 10.11604/pamj.2019.34.28.18239

Schwannomas are rare tumors, usually benign, originating from the Schwann sheath of the peripheral or cranial nerves. They are an extremely uncommon cause of adrenal incidentaloma. It is difficult to diagnose adrenal schwannoma preoperatively by imaging alone due of their aspect suspect on it. We report a case of adrenal mass discovered incidentally in a 41 years old patient who presented an atypical abdominal pain. Biological assessment was unremarkable, and imaging studies did not show strict imaging criteria for a typical adenoma. A surgical excision of the adrenal incidentaloma was decided. Histopathological examination and immunohistochemical staining of the excised specimen revealed a benign schwannoma.