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Total Laparoscopic Anterior Resection and L/Adrenalectomy for Rectal Adenocarcinoma with Concurrent Adrenal Adenoma Mimicking Metastasis: Decision Making Process in an Unusual Case and Brief Review of Literature

[ ISSN : 2473-0688 ]

Abstract
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Received: 23-Jan-2018

Accepted: 05-Feb-2018

Published: 09-Feb-2018

Case Report | Volume 4 - Issue 1 | Article DOI :

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Duminda Subasinghe¹*, Sonali Gunatilake², Suchintha Tilakarathana¹, Amarabandu PN³, and Amal Priyantha TG⁴

¹Senior Registrar in Gastrointestinal Surgery, Gastrointestinal Surgical Unit, Colombo South Teaching Hospital, Sri Lanka

²Senior Registrar in Endocrinology, Endocrinology Unit, Colombo South Teaching Hospital, Sri Lanka

³Consultant Pathologist, Department of Pathology, Colombo South Teaching Hospital, Sri Lanka

?Senior Consultant Gastrointestinal Surgeon, Gastrointestinal Surgical Unit, Colombo South Teaching Hospital, Sri Lanka

Corresponding Author:

Duminda Subasinghe, Senior Registrar in Gastrointestinal Surgery, Gastrointestinal Surgical Unit, Colombo South Teaching Hospital, Colombo, Sri Lanka, Tel: 094716862656; Email: dumindas1982@yahoo.com Distributed under Creative Common

Keywords

Colorectal; Adrenal metastasis; Laparoscopic anterior resection

Abstract

The most common sites of metastasis of the Colorectal Cancer (CRC) are liver and lung. Though Adrenal metastasis is a relatively frequent finding during autopsy, clinically significant adrenal metastasis is rare. Adrenal adenoma mimicking colorectal metastasis is extremely rare and poses significant challenge in the diagnosis. Simultaneous adrenal adenoma mimicking colorectal metastasis and colorectal carcinoma has not been described in literature. We describe a 62-year-old Sri Lankan male with adenocarcinoma of recto-sigmoid junction and a solitary lesion in the left adrenal gland which was found incidentally on Computed tomography. Since the possibility of an adrenal metastasis could not be ruled out he underwent total laparoscopic anterior resection and left adrenalectomy. His histology revealed an adenocarcinoma of upper rectum with L/adrenal cortical adenoma. A review in the literature showed that synchronous solitary adrenal adenoma with atypical features suggesting a metastasis coexisting with colorectal carcinoma is very rare.

Citation

Subasinghe D, Gunatilake S, Tilakarathana S, Amarabandu PN and Priyantha TGA. Total Laparoscopic Anterior Resection and L/Adrenalectomy for Rectal Adenocarcinoma with Concurrent Adrenal Adenoma Mimicking Metastasis: Decision Making Process in an Unusual Case and Brief Review of Literature. SM J Case Rep. 2018; 4(1): 1079.