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- Title
Adrenal Myelolipoma With Spontaneous Hemorrhage
- Authors
Chung, Hui-Ming; Luo, Fu-Jinn; Wu, Tser-Min; Tsai, Yung-Cheng
- Abstract
Adrenal myelolipoma is a rare disease entity that is usually asymptomatic and found in elderly patients. We report the case of a young female patient with this tumor who presented with spontaneous retroperitoneal hemorrhage. The 32-year-old woman suffered from acute onset of right loin pain and visited our emergency department. She had no specific history of any medical disease. A bulging mass was palpable in the right upper area of the abdomen. Other than anemia, complete blood count was normal. Serum adrenocorticotropic hormone, plasma renin activity, aldosterone, and 24-hour urine vanillylmandelic acid levels were all within normal limits. Abdominal computed tomography showed retroperitoneal hemorrhage of a large tumor with fat density in the right suprarenal region. The tumor was surgically removed. Pathological findings revealed a proliferation of adipocytes and myeloid tissues, which were compatible with adrenal myelolipoma. She had a smooth recovery, and was stable at the 6-month postoperative follow-up.
- Subjects
SOCIAL conditions of women; MEDICAL emergencies; EMERGENCY medical services; HEMORRHAGE
- Publication
Urological Science, 2010, Vol 21, Issue 3, p152
- ISSN
1879-5226
- Publication type
Article
- DOI
10.1016/S1879-5226(10)60034-6