Giant Bilateral Adrenal Myelolipoma: Case Report
| Autor: | Christopher D'Souza, Rakesh S. Ramesh, Arkadeep Dhali, B. Rathna Roger |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
renal calculi
medicine.medical_specialty hypertension Endocrinology Diabetes and Metabolism medicine.medical_treatment Autosomal dominant polycystic kidney disease Case Report lcsh:Diseases of the endocrine glands. Clinical endocrinology renal cyst Pheochromocytoma Endocrinology medicine Cyst Congenital adrenal hyperplasia lcsh:RC799-869 Pathological adrenal myelolipoma lcsh:RC648-665 business.industry Adrenalectomy von hippel–lindau syndrome adrenalectomy adpkd medicine.disease bilateral adrenal tumor Vomiting lcsh:Diseases of the digestive system. Gastroenterology Radiology Hepatic Cyst medicine.symptom business hepatic cyst |
| Zdroj: | Indian Journal of Endocrinology and Metabolism, Vol 24, Iss 6, Pp 551-553 (2020) Indian Journal of Endocrinology and Metabolism |
| ISSN: | 2230-8210 |
| DOI: | 10.4103/ijem.ijem_737_20 |
| Popis: | Adrenal myelolipomas are nonfunctional tumors that are usually asymptomatic; however, they have been known to coexist with other endocrine disorders, such as Cushing's syndrome, congenital adrenal hyperplasia (CAH), Conn's syndrome, and pheochromocytoma. We report a case of a 49-year-old man with hypertension and diabetes mellitus who complained of chronic abdominal pain, vomiting, and early satiety. Preoperative contrast-enhanced computerized tomography (CECT) was performed, and adrenal myelolipoma was considered, lab investigations revealed a nonfunctional tumor. CECT also revealed bilateral renal cortical cyst, right renal calculi, and hepatic cyst. A left open cortical sparing adrenalectomy was performed, pathological examination confirmed the diagnosis, and a radiological surveillance was planned for the right tumor. Four years following this, the patient came back with a similar presentation. Right adrenalectomy was performed after preoperative workup, and subsequently steroid replacement therapy was initiated. We suggest adequate follow-up of a patient presenting with adrenal myelolipoma and to explore the possibility of establishing a syndromic diagnosis such as autosomal dominant polycystic kidney disease (ADPKD). |
| Databáze: | OpenAIRE |
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