Abstract

FERREIRA B, Edgar Julián et al. Endosonography with Fine Needle Aspiration Biopsy of the Left Adrenal Gland for Diagnosis of Paracoccidioidomycosis: Contribution of a New Case to the Literature. Rev Col Gastroenterol [online]. 2018, vol.33, n.1, pp.57-60. ISSN 0120-9957.  https://doi.org/10.22516/25007440.232.

Endosonography, born more than 30 years ago, is one diagnostic modality for benign and malignant pathologies of the gastrointestinal tract. In recent years, transgastric (left) or transduodenal (right) fine needle biopsies of the adrenal glands guided by endosonography has been demonstrated to be safer and more efficacious than percutaneous approaches guided by CT or ultrasound. Differential diagnoses of adrenal insufficiency with evidence of masses in adrenal glands must consider paracoccidioidomycosis despite the fact that it is exclusively present in Latin America where its etiological agent is found. We present a case of paracoccidioidomycosis with adrenal insufficiency and bilateral adrenal thickening whose diagnosis was achieved by transgastric biopsy of the left adrenal gland guided by endosonography.

Keywords : Endosonography; paracoccidioidomycosis; adrenal insufficiency.

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