Adrenal hemangioma: A rare presentation of bleeding incidentaloma: Case report
| Autor: | Sora S. Boustany, Grace Jrad, Houssein Amin Kassem Moussa, Alaa Kansoun, Etienne El-Helou, Georges Robert Neaime, Beatrice A. Karam, Serge Ibrahim, Houssam Bashir Mazraani, Ali Nassif, Houssam Alam, Georges Bassil, Sammy Y. Tawk |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Anemia medicine.medical_treatment Malignancy Lebanese Hemangioma 03 medical and health sciences 0302 clinical medicine Case report Medicine Embolization cardiovascular diseases Adrenal Adrenal tumors business.industry Incidentaloma Pathology Report medicine.disease eye diseases CT computed tomography body regions AH adrenal hemangioma 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology sense organs Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Adrenal incidentalomas are tumors found accidentally by imaging. • Hemangiomas are quite rare and in certain cases their surgical intervention should never be overlooked. • Embolization is primarily implied but one should never neglect the failure rate and the need for surgical intervention. • There are 4 types of AH: cavernous hemangioma, venous hemangioma, capillary type hemangioma, and mixed hemangioma. • To our knowledge, our case has the largest size of an AH being reported in the literature with a 17 cm. Introduction Adrenal incidentalomas are tumors found accidentally by imaging. Among the incidentalomas, hemangiomas are quite rare and in certain cases their surgical intervention should never be overlooked. Presentation of case We present a case of 70 years old Lebanese female with an adrenal tumor presented as syncope found to have anemia on presentation and a bleeding 17 cm adrenal tumor on imaging. Patient had workup to rule out functioning adrenal tumors and decision to excise the tumor was taken after failure of embolization. Pathology report denied malignancy despite of the huge size and was in favor of hemangioma. Conclusion Adrenal hemangiomas are rare and they rarely present as syncope. Attention to such a life-threatening condition should be sustained. Embolization is primarily implied but one should never neglect the failure rate and the need for surgical intervention. |
| Databáze: | OpenAIRE |
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