Abstract

ARES VALDES, Yolanda. Adrenal myelolipoma: Case report and bibliographic review. Arch. Esp. Urol. [online]. 2006, vol.59, n.1, pp.71-73. ISSN 0004-0614.

Objectives: We report one case of adrenal myelolipoma in a female patient presenting with right lumbar pain over six months. Methods: Diagnostic work included ultrasound, intravenous urography (IVU) and CT scan. Results: The patient underwent right adenomectomy with the working diagnosis of adrenal myelolipoma. We describe the pathology report. Conclusions: Myelolipoma may present hematopoietic, fat and bone components. It continues being an incidental finding. Ultrasound and CT scan are effective diagnostic tests. Asymptomatic small tumors, smaller than 4 cm, may be monitored with watchful waiting. Symptomatic tumors greater than 4 cm should be extirpated because of the risk of spontaneous rupture with retroperitoneal bleeding. Bilateral adrenalectomy for big tumors implies medical replacement with hydrocortisone.

Keywords : Myelolipoma; Adrenal gland; Incidental.

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