Spontaneous intra-adrenal massive hematoma: possible extreme evolution of a non-secreting untreated adrenal adenoma
| Autor: | Mariangela Mancini, Massimo Iafrate, Ambrogio Fassina, Nicolò Leone, Filiberto Zattoni, complex conditions |
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| Rok vydání: | 2020 |
| Předmět: |
Kidney
medicine.medical_specialty AcademicSubjects/MED00910 business.industry Capsule Case Report 030209 endocrinology & metabolism medicine.disease Asymptomatic Jscrep/0170 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Hematoma 030220 oncology & carcinogenesis medicine Retroperitoneal space Adrenal adenoma Surgery Histopathology Radiology medicine.symptom business Abdominal surgery |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjaa185 |
| Popis: | The spontaneous adrenal hematoma is a rare event. An 83-year-old male patient presented a 26-cm asymptomatic retroperitoneal mass of doubtful renal–adrenal origin. He had been evaluated 10 years before for an adrenal incidentaloma of 2.3 cm and had refused surgery when it had reached 7 cm. Later, the mass enlarged to 26 cm and was surgically removed through an open anterior approach. The histopathology showed a solid 4 kg mass of fibrinoid–hemorrhagic material, partially necrotic, mixed with adrenal tissue, with a well-vascularized capsule. No relapse is present at 6-month follow-up. This is the largest case described of spontaneous intra-adrenal hematoma in a case with previous non-secreting adrenal adenoma. The hematoma (a 4 kg mass) developed 10 years after the first diagnosis and exposed the patient to potential damage of the surrounding organs and to high-risk abdominal surgery. Long-term follow-up of non-secreting adrenal adenomas should be recommended. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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