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Unusual discovery: Incidental diagnosis of adrenal myelolipoma, initially confused with liposarcoma, following bee sting bite, resolving chronic right hypochondrial discomfort - A case report. | LitMetric

AI Article Synopsis

  • - Adrenal myelolipomas are rare, non-cancerous tumors found in the adrenal glands that sometimes have fat and blood cell components, usually diagnosed incidentally.
  • - A 51-year-old man underwent surgery to remove a myelolipoma after discovering an adrenal mass due to pain; he developed a surgical infection but recovered well, with a biopsy confirming the tumor's benign nature.
  • - These tumors are often unilateral and diagnosed through imaging techniques like CT or MRI, but surgical intervention is necessary for larger, symptomatic, or hormonally active cases.

Article Abstract

Introduction And Importance: Adrenal myelolipomas are uncommon benign tumors of the adrenal gland. It has various other sites of origin.

Case Presentation: A 51-year-old male with elevated serum creatinine and an incidentally discovered adrenal mass underwent right adrenalectomy for an adrenal myelolipoma, a benign tumor with fat and haematopoietic components after bee string bite. As the patient was experiencing right hypochondrial pain surgery was planned. After surgery, he developed a surgical site infection, which was treated with antibiotics, and his wound healed well. Excision biopsy confirmed the non-malignant nature of the tumor.

Clinical Discussion: Adrenal myelolipomas are often unilateral, non-functional, and diagnosed using imaging (CT/MRI). While radiological findings can be specific, inconclusive cases may require biopsy for confirmation. Surgical intervention is reserved for hormonally active, symptomatic, or rapidly growing myelolipomas, particularly if they exceed 5 cm.

Conclusion: Adrenal myelolipomas are common in adrenal glands, typically diagnosed in midlife with no gender bias. Imaging, especially CT, is effective in detecting fat components. In cases of diagnostic uncertainty, fine needle biopsy is crucial for confirmation, and surgery is considered when tumors are hormonally active, grow substantially, or cause symptoms, highlighting personalized care based on patient and imaging data.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758857PMC
http://dx.doi.org/10.1016/j.ijscr.2023.109130DOI Listing

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