Karampekios S, Hatjidakis A A, Drositis J, Gourtsoyiannis N
Department of Radiology, University Hospital of Heraklion, Medical School of Crete, Greece.
J Comput Assist Tomogr. 1998 Mar-Apr;22(2):308-10. doi: 10.1097/00004728-199803000-00028.
A percutaneous adrenal biopsy under CT guidance is described. The biopsy was performed after injection of physiologic saline solution into the paravertebral space, creating a wider pathway for needle insertion. This technique has been previously reported for biopsy of thoracic lesions, but in our case it was used for biopsy of a relatively inaccessible adrenal lesion. This artificial window that is formed by displacing the pleura laterally allows a direct and potentially safer access route to the retroperitoneum, avoiding puncture of pleura, diaphragm, and abdominal structures.
