Management of Incidentalomas

Surg Clin North Am. 2021 Dec;101(6):1081-1096. doi: 10.1016/j.suc.2021.06.006.

Abstract

Incidental findings are common in the evaluation of surgical patients. Understanding the appropriate assessment and management of these frequent occurrences is important for the provision of comprehensive quality care. This review details the epidemiology, considerations, and recommendations for management of common incidental manifestations in surgical patients, including Meckel diverticulum, adrenal incidentaloma, thyroid nodule, solitary pulmonary nodule, small bowel intussusception, gallstones, and incidental appendectomy.

Keywords: Adrenal incidentaloma; Asymptomatic gallstones; Incidental Meckel diverticulum; Incidental appendectomy; Incidental small bowel intussusception; Incidental solitary pulmonary nodule; Incidental thyroid nodule.

Publication types

  • Review

MeSH terms

  • Adrenal Gland Neoplasms* / diagnosis
  • Adrenal Gland Neoplasms* / therapy
  • Appendectomy*
  • Gallstones* / diagnosis
  • Gallstones* / therapy
  • Humans
  • Incidental Findings
  • Intestine, Small
  • Intussusception / diagnosis
  • Intussusception / therapy
  • Meckel Diverticulum* / diagnosis
  • Meckel Diverticulum* / therapy
  • Solitary Pulmonary Nodule* / diagnosis
  • Solitary Pulmonary Nodule* / therapy
  • Thyroid Nodule* / pathology
  • Thyroid Nodule* / therapy

Supplementary concepts

  • Adrenal incidentaloma