Adrenal-renal Fusion: A Rare and Challenging Case for the Adrenal Surgeon

Abstract

Adrenal-renal fusion is a rare entity wherein the capsule of the adrenal gland is fused to the kidney. Here, we report a case of adrenal-renal fusion making intraoperative dissection challenging. We also report on four other cases of adrenal-renal fusion at our institution and a review of the literature. Although rare, radiologists and surgeons must be aware of this condition and consider it as a possibility, especially when dealing with upper pole renal lesions in order to avoid misdiagnosis and unnecessary resections.

Adrenal cortical adenoma arising in the setting of renal–adrenal fusion: a case report and review of the literature

“…[ 6 ] 76/F Partial nephrectomy with adrenalectomy Renal mass L Adrenal cortical adenoma James et al . [ 7 ] 54/M Adrenalectomy Primary hyperaldosteronism R Adrenal cortical adenoma James et al . [ 7 ] 41/F NA Renal mass R Adrenal cortical neoplasm James et al .…”

“…[ 7 ] 54/M Adrenalectomy Primary hyperaldosteronism R Adrenal cortical adenoma James et al . [ 7 ] 41/F NA Renal mass R Adrenal cortical neoplasm James et al . [ 7 ] 45/F NA Renal mass R Clear cell renal cell carcinoma James et al .…”

“…[ 7 ] 41/F NA Renal mass R Adrenal cortical neoplasm James et al . [ 7 ] 45/F NA Renal mass R Clear cell renal cell carcinoma James et al . [ 7 ] 68/M NA Renal mass R Clear cell renal cell carcinoma and renal hematoma James et al .…”

“…[ 7 ] 45/F NA Renal mass R Clear cell renal cell carcinoma James et al . [ 7 ] 68/M NA Renal mass R Clear cell renal cell carcinoma and renal hematoma James et al . [ 7 ] 43/F NA Renal cortical cyst R Cortical cyst St Clair et al .…”

“…[ 7 ] 68/M NA Renal mass R Clear cell renal cell carcinoma and renal hematoma James et al . [ 7 ] 43/F NA Renal cortical cyst R Cortical cyst St Clair et al . [ 8 ] 61/M Partial nephrectomy with adrenalectomy Renal mass L Adrenal cortical adenoma Patel et al .…”