حبیب الله موسوی بهار

Adrenal cysts are very rare, and their prevalence has been reported at 5-6% in the clinic. Adrenal cysts comprise 1% to 22% of incidentally discovered adrenal masses. Given the rarity of adrenal cysts and their asymptomatic occurrence in some patients, in this study, a patient with an adrenal cyst referred by weight gain is introduced.

A 49-year-old female patient referred with a complaint of abdominal swelling and gradual weight gain since a year ago. In ultrasound examinations, she was found to have an abdominal mass of unknown origin. In the computed tomography (CT) scan with and without contrast of the patient, the image of a 32 × 28 × 40 cm cyst with a thin wall and transparent contents in the pelvic area showed the appearance of an adrenal pseudocyst, which has caused a pressure effect on the right kidney and its displacement to the left retroperitoneum. According to laboratory tests and repeated visits, the patient underwent surgery with a possible diagnosis of adrenal mass. The patient's complaints were resolved after the surgery.

In general, the present study was related to adrenal cysts with uncommon manifestations. The diagnosis was made with the help of a CT scan before the surgery, and the patient's surgery was performed without any major or minor complications. However, if the centers are equipped with the appropriate skills and facilities, laparoscopic management of these patients is suggested.

Benign prostate hyperplasia is the most common benign tumor in males. An open prostatectomy procedure can be performed to treat this problem. This procedure can be performed using Pfannenstiel or lower midline incisions. The purpose of this study was to investigate the effect of each of these incisions on the operation time, postoperative pain, intraoperative bleeding, and postoperative scar.

This study was conducted using a randomized clinical trial method on 62 patients who had been referred to Shahid Beheshti Hospital in Hamadan, Iran in 2022 for prostatectomy. Patients were randomly divided into two groups of L (lower midline incision) and P (Pfannenstiel incision). The required data was collected through relevant tools, and the collected data were analyzed using an independent t-test in SPSS software (version 23).

The results showed that there was no significant difference between the L and P groups before studying individual characteristics and the two groups were homogeneous. Based on statistical tests, there was a significant difference between group P and group L regarding the amount of bleeding in the enucleating stage, the amount of pain 24 h after the operation, and the scar score (P<0.05).

The Pfannenstiel incision was considered preferable during the open simple prostatectomy and had less bleeding during the operation, less postoperative pain, and better aesthetic results than the lower midline incision.