Giant adrenal myelolipoma with a spontaneous rupture: report of a case
Myelolipoma is a benign tumor of the adrenal cortex, which is non-functioning and often asymptomatic. It is generally diagnosed in imaging tests by chance. Rupture and bleeding of myelolipoma is an infrequent complication, and may lead to the formation of a hematoma or, less usually, result in a mas...
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2009-09-01
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doaj-e5368aeade7749e3a7c578ccd158d1402020-11-25T01:30:27ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082009-09-0173357360Giant adrenal myelolipoma with a spontaneous rupture: report of a caseSergio Renato Pais CostaSergio Henrique Couto HortaAlexandre Cruz HenriquesMyelolipoma is a benign tumor of the adrenal cortex, which is non-functioning and often asymptomatic. It is generally diagnosed in imaging tests by chance. Rupture and bleeding of myelolipoma is an infrequent complication, and may lead to the formation of a hematoma or, less usually, result in a massive retroperitoneal hemorrhage. The compression of adjacent structures by retroperitoneal hematoma of adrenal origin is possible but not frequent. Indications for surgery continue to be a difficult and controversial decision, since a conservative treatment and a watchful waiting may be indicated in some cases. However, the surgical procedure has been more precisely indicated to symptomatic patients (pain or infection) or even to uncertain diagnosis (malignant neoplasm). The authors present a case of a giant myelolipoma of the adrenal gland that presented both complicated spontaneous rupture (abdominal pain) and uncertain diagnosis by radiological images (computed tomography). The patient underwent a surgical resection with favorable postoperative outcome and pain relief.http://apps.einstein.br/revista/arquivos/PDF/615-Einstein%20v7n3p357-60.pdfMyelolipomaAdrenal gland neoplasmsCase reports |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques |
spellingShingle |
Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques Giant adrenal myelolipoma with a spontaneous rupture: report of a case Einstein (São Paulo) Myelolipoma Adrenal gland neoplasms Case reports |
author_facet |
Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques |
author_sort |
Sergio Renato Pais Costa |
title |
Giant adrenal myelolipoma with a spontaneous rupture: report of a case |
title_short |
Giant adrenal myelolipoma with a spontaneous rupture: report of a case |
title_full |
Giant adrenal myelolipoma with a spontaneous rupture: report of a case |
title_fullStr |
Giant adrenal myelolipoma with a spontaneous rupture: report of a case |
title_full_unstemmed |
Giant adrenal myelolipoma with a spontaneous rupture: report of a case |
title_sort |
giant adrenal myelolipoma with a spontaneous rupture: report of a case |
publisher |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
series |
Einstein (São Paulo) |
issn |
1679-4508 |
publishDate |
2009-09-01 |
description |
Myelolipoma is a benign tumor of the adrenal cortex, which is non-functioning and often asymptomatic. It is generally diagnosed in imaging tests by chance. Rupture and bleeding of myelolipoma is an infrequent complication, and may lead to the formation of a hematoma or, less usually, result in a massive retroperitoneal hemorrhage. The compression of adjacent structures by retroperitoneal hematoma of adrenal origin is possible but not frequent. Indications for surgery continue to be a difficult and controversial decision, since a conservative treatment and a watchful waiting may be indicated in some cases. However, the surgical procedure has been more precisely indicated to symptomatic patients (pain or infection) or even to uncertain diagnosis (malignant neoplasm). The authors present a case of a giant myelolipoma of the adrenal gland that presented both complicated spontaneous rupture (abdominal pain) and uncertain diagnosis by radiological images (computed tomography). The patient underwent a surgical resection with favorable postoperative outcome and pain relief. |
topic |
Myelolipoma Adrenal gland neoplasms Case reports |
url |
http://apps.einstein.br/revista/arquivos/PDF/615-Einstein%20v7n3p357-60.pdf |
work_keys_str_mv |
AT sergiorenatopaiscosta giantadrenalmyelolipomawithaspontaneousrupturereportofacase AT sergiohenriquecoutohorta giantadrenalmyelolipomawithaspontaneousrupturereportofacase AT alexandrecruzhenriques giantadrenalmyelolipomawithaspontaneousrupturereportofacase |
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