Diagnosis and Management of a Large Adrenal Myelolipoma

Adrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bila...

Full description

Bibliographic Details
Main Authors: Imad Ghantous, Melissa Kyriakos Saad, Toufic Saber, Elissa Mahfouz, Imad Matta, Elias Saikaly
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-12-01
Series:International Journal of Recent Surgical and Medical Sciences
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721519
Description
Summary:Adrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bilateral adrenal myelolipoma is present. Herein, we present a case of a 51-year-old male Caucasian patient with bilateral adrenal myelolipoma. The patient had a large left adrenal myelolipoma (23 × 13 cm) and a small one on the right (4.4 × 4 cm). We opted for an open left adrenalectomy due to classical features on computed tomography scan and the mass effect of the tumor.
ISSN:2455-7420
2455-0949