75 x 7mm), they are yellow in colour in contrast to adjacent red-brown kidney tissue. The left adrenal lies within the perirenal fat but the right has one surface exposed along the upper border. When present with the kidney in a nephrectomy, the adrenal gland’s position and shape assist in identifying the laterality and orientating the kidney. The right adrenal gland is triangular in shape whereas the left is broader and crescent-shaped due to its compression between the kidney and the liver. The adrenals are flat, ovoid glands with irregular surfaces located on the superior poles of kidneys, within Gerota’s fascia. 1,2 Other rare conditions have been described such as bilateral primary pigmented nodular adrenocortical disease 3 and adrenal medullary hyperplasia in familial medullary thyroid carcinoma. Rarely malignant tumours such as adrenal cortical carcinoma and infiltration by retroperitoneal tumours are detected.īilateral adrenalectomy may be necessary as a treatment for Cushing’s disease or ectopic adrenocorticotrophic hormone (ACTH) syndrome.
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