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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Main Authors: Sergio Renato Pais Costa, Sergio Henrique Couto Horta, Alexandre Cruz Henriques
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2009-09-01
Series:Einstein (São Paulo)
Subjects:
Online Access:http://apps.einstein.br/revista/arquivos/PDF/615-Einstein%20v7n3p357-60.pdf
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spelling 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
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