A woman with a suprarenal mass and hypertension
| Autor: | H Kahal, E Cooper, D V Coppini, R Sriraman |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Neurofibromatosis 1 Adenoma Gastrointestinal Stromal Tumors medicine.medical_treatment Adrenal Gland Neoplasms Peritonitis Pheochromocytoma Laparotomy medicine Humans Neurofibroma Medical history Cyst Aged General Environmental Science Abdominal discomfort Incidental Findings business.industry General Engineering General Medicine Middle Aged medicine.disease Cafe-au-lait macules Abdominal Pain Surgery Hypertension General Earth and Planetary Sciences Female business |
| Zdroj: | BMJ. 338:b333-b333 |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.b333 |
| Popis: | A woman presented to surgeons with abdominal discomfort in 1990. She underwent abdominal computed tomography, which showed a large incidental right suprarenal mass (fig 1⇓). Follow-up scans suggested a benign stable adenoma, measuring 49×60 mm, and the decision was made not to operate. An endocrine opinion was not sought. Her medical history included hypertension. Fig 1 Abdominal computed tomography scan showing a suprarenal mass (arrow) In June 2006, at the age of 69, she re-presented with peritonitis, and a laparotomy showed a thickened wall cyst at the duodeno-jejunal junction. During elective excision of the cyst in April 2007, it was difficult to achieve haemodynamic stability. An unplanned resection of the suprarenal mass was performed concomitantly. The cyst stained strongly positive for CD117. Figure 2⇓ shows the patient’s clinical features. Fig 2 The patient’s clinical features ### Short answers Fig 3 The patient’s clinical features. The black arrow points to a neurofibroma and the pink arrow points to a cafe au lait macule |
| Databáze: | OpenAIRE |
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