A rare case of adrenal cavernous hemangioma
Journal
Medicinski pregled = Medical review
Date Issued
2020-03
Author(s)
DOI
10.2298/mpns2004101v
Abstract
<jats:p>Introduction. Adrenal cavernous hemangiomas are extremely rare
non-functioning benign tumors. The majority of adrenal cavernous hemangiomas
are diagnosed incidentally after surgery by histopathological examination.
Case Report. We report a clinical case of a 57-year-old woman with adrenal
cavernous hemangioma. On admission, the patient?s adrenal-related hormones
were in the reference range, so adrenal endocrine dysfunction was ruled out.
The computed tomography scan revealed a well-circumscribed, round,
heterogeneous right adrenal mass (32.3 x 55.4 mm). Iodinated contrast
enhanced abdominal computed tomography showed a slight inhomogeneity. In
this case, preoperative radiologic findings and absence of signs of local
invasion indicated laparoscopic adrenalectomy. The patient underwent right
transperitoneal adrenalectomy. Microscopic evaluation showed a sinusoidal
dilatation and fibrotic septa, so postoperative diagnosis of adrenal
cavernous hemangioma was made. Conclusion. In summary, we reported a case of
an incidentally discovered non-functioning adrenal cavernous hemangioma
treated by laparoscopic surgery. The diagnosis of adrenal cavernous
hemangioma may be challenging, and it is commonly made after surgery, since
it is frequently confirmed by histopathological examination.</jats:p>
non-functioning benign tumors. The majority of adrenal cavernous hemangiomas
are diagnosed incidentally after surgery by histopathological examination.
Case Report. We report a clinical case of a 57-year-old woman with adrenal
cavernous hemangioma. On admission, the patient?s adrenal-related hormones
were in the reference range, so adrenal endocrine dysfunction was ruled out.
The computed tomography scan revealed a well-circumscribed, round,
heterogeneous right adrenal mass (32.3 x 55.4 mm). Iodinated contrast
enhanced abdominal computed tomography showed a slight inhomogeneity. In
this case, preoperative radiologic findings and absence of signs of local
invasion indicated laparoscopic adrenalectomy. The patient underwent right
transperitoneal adrenalectomy. Microscopic evaluation showed a sinusoidal
dilatation and fibrotic septa, so postoperative diagnosis of adrenal
cavernous hemangioma was made. Conclusion. In summary, we reported a case of
an incidentally discovered non-functioning adrenal cavernous hemangioma
treated by laparoscopic surgery. The diagnosis of adrenal cavernous
hemangioma may be challenging, and it is commonly made after surgery, since
it is frequently confirmed by histopathological examination.</jats:p>
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