Adrenalectomía laparoscópica en Adenoma virilizante a propósito de un caso

objective: present a clinical case. method: feminine of 40 years old iiig iiip initial start disease in 2007 with amenorrhoea, virilization signs, cushin fascies. results: goes to facultative that studies with hormonal profile reporting in april of 2009: prolactin 7.83, t3 t4 tsh without alterations, estradiol 280, progesterone in 0,4, fsh 9.7 lh 6.5, pelvic and abdominal ultrasound reporting cyst simple left ovary of 36 mm x33 mm x 28 mm and volume of 17.5 cm3, abdominal and pelvic tac that reports heterogeneous image that catches contrast, contours defined in right adrenal grave 4.8 cm of diameter, suggestive of adrenal adenoma, also increase uterine volume of fibromatosis and cyst of straight simple ovary, urinary catecholamines and normal vanidilmandelic acid are appraised, reason by which it is decided to take definitive surgical treatment, reason why asks for pre operating studies and the 02-17-10 was taken to laparoscopic adrenectomy, with diagnosis of virilizant adrenal adenoma. the definitive biopsy report benign epithelial tumor of adrenal cortical cells (cortical adrenal adenoma), without capsular invasion necrosis non pleomorphic, without malignant suspicious items. the patient egresses to the 24 hours after surgery, with an immediate satisfactory post-operative, presenting/ displaying menstrual bleeding 1 month subsequent to the surgery and postsurgical reversion of the signs of virilization. conclusion: the virilizant adrenal adenomas are a rare pathology but when the clinic appears is unequivocal, laparoscopic boarding of these injuries in selected patients is good recommended since the benefit is unquestionable