Gastric Diverticulum Misdiagnosed as a Left Adrenal Lesion
Journal Title: Gastro - Open Journal - Year 2015, Vol 1, Issue 1
Abstract
We report a case of gastric diverticulum misdiagnosed as a left adrenal lesion on both ultrasound and CT imaging and later identified on a follow-up CT. A 56 year-old man with a history of gastroesophageal reflux disease was admitted to our Hospital with left abdominal pain. There was no history of vomiting, hematemesis, melena, tiredness or jaundice. Bowel sounds were normal and no masses were identified at clinical examination. An ultrasound abdominal scan was performed and a hypoechoic 24 mm mass in left adrenal loggia was reported. An abdominal CT scan showed a 2.4 cm rounded mass in the area of the left adrenal gland with densitometric mean values of -7 HU, interpreted as adrenal adenoma (Figure 1). In the following days the patient underwent a complete endocrinological evaluation that showed normal findings with normal adrenal function; ACTH level and urinary catecholamines were both within normal range. The patient was then discharged and scheduled for a follow-up CT.
Authors and Affiliations
Simone Sala
Keywords
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- EP ID EP555944
- DOI 10.17140/GOJ-1-104
- Views 124
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