2009, Number 5
Rev Mex Urol 2009; 69 (5)
Shuck-Bello CE, Cantellano-Orozco M, Morales-Montor JG, Leos-Acosta CA, Camarena-Reynoso HR, Vázquez-Ortega LS, Parraguirre-Martínez S, Pacheco-Gabhler C, Calderón-Ferro F
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ABSTRACTPheochromocytoma is a rare tumor made up of chromaffin cells that often secretes catecholamines. It presents in the adrenal medulla or extra adrenal tissue as paraganglioma. It causes high blood pressure in 0.1-0.6% of the population. Significant improvement has been made since the first adrenalectomies reported by Rous in Switzerland and Mayo in the United States. Laparoscopic techniques in suprarenal diseases were initially described by Gagner in 1992 as treatment for Cushing’s syndrome and pheochromocytoma and their indication has been controversial in regard to approach, maximum tumor size, cost-benefits and possible recurrence.
The case of a 66-year-old female patient with difficultto-control hypertension of 18-year progression and right suprarenal mass diagnosed by computed axial tomography that was managed with laparoscopic adrenalectomy is presented.