Adrenal Myelolipoma Diagnosed in a 72-Year-Old Patient with Abdominal Pain
Abstract
BACKGROUND: Adrenal myelolipoma is a rare benign tumor formed by hematopoietic tissue and mature adipose tissue. Usually is insidious and found occasionally on image exams, therefore is also called incidentaloma. Image studies and anatomopathological exam are important to define the diagnosis of adrenal myelolipoma. This study’s objective was to report the case of this rare adrenal tumor and its main diagnostic means.
CASE: It was report case about a 72-year-old patient, whose initial symptom was diffuse abdominal pain, nausea and vomiting, diagnosed with adrenal myelolipoma after image studies even in the absence of laboratory abnormalities, and submitted at a private hospital at Belém-PA.
CONCLUSIONS: The adrenal myelolipoma, due its usual asymptomatic characteristics or its no-specifics symptoms, requires a meticulous analysis concerning both diagnosis and treatment. Thus, our case report corroborates the importance of the image studies in front of an obscure and difficult diagnosis, especially the computed tomography, and anatomopathological evaluation, since they are essential to the best decision making and consequently a better prognosis of the patient.
References
2. Nabi J, Rafiq D, Authoy FN, Sofi GN. Incidental detection of adrenal myelolipoma: a case report and review of literature. Case reports in urology2013;2013.
3. Baisakh M, Chattoraj A, Narayanan R, Mohanty R, Mishra M. Adrenal myelolipoma: A rare lesion of adrenal gland. Indian journal of cancer2015;52(4):597.
4. Cunha OC, Fernandes CC, Machado LM, Belitardo MG, Azevedo MN, Lourenço RB, et al. Mielolipoma de supra-renal. Relato de caso. Revista Científica da Fmc, Campos dos Goytacazes2008;3(1):08-12.
5. Ramirez M, Misra S. Adrenal myelolipoma: To operate or not? A case report and review of the literature. International journal of surgery case reports2014;5(8):494-6.
6. Daneshmand S, Quek M. Adrenal myelolipoma: diagnosis and management. Urology journal2006;3(2):71.
7. Yalagachin GH, Bhat BK. Adrenal incidentaloma does it require surgical treatment? Case report and review of literature. International journal of surgery case reports2013;4(2):192-4.
8. Caiafa RO, Izquierdo RS, Villalba LB, Cerqueda MS, Molina CN. Manejo y diagnóstico del incidentaloma suprarrenal. Radiología2011;53(6):516-30.
9. Brogna A, Scalisi G, Ferrara R, Bucceri AM. Giant secreting adrenal myelolipoma in a man: a case report. Journal of medical case reports2011;5(1):1.
10. Zeiger M, Thompson G, Duh Q-Y, Hamrahian A, Angelos P, Elaraj D, et al. American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons medical guidelines for the management of adrenal incidentalomas. Endocrine Practice2009;15(Supplement 1):1-20.
11. Kumar S, Mittal A, Sharma AP, Mukhopadhyay A. Giant adrenal myelolipoma-clinical spectrum and management: a single centre experience. International Journal of Research in Medical Sciences2016;4(11):4889-93.
12. Anis-ul-Islam M, Qureshi AH, Zaidi SZ. Adrenal myelolipoma in a young male-a rare case scenerio. JPMA The Journal of the Pakistan Medical Association2016;66(3):342-4.
13. Lattin Jr GE, Sturgill ED, Tujo CA, Marko J, Sanchez-Maldonado KW, Craig WD, et al. From the radiologic pathology archives: Adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics2014;34(3):805-29.
14. Wale DJ, Wong KK, Viglianti BL, Rubello D, Gross MD. Contemporary imaging of incidentally discovered adrenal masses. Biomedicine & Pharmacotherapy2017;87:256-62.
15. Kataoka M, Fukushima H, Nakanishi Y, Yokoyama M, Funata N, Motoi T, et al. Retroperitoneal Teratoma in an Adult: A Potential Pitfall in the Differential Diagnosis of Adrenal Myelolipoma. Case Reports in Urology2016;2016.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
Copyright ownership
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©