Non-secreting adrenal myelolipoma in a middle-aged male patient manifesting with sudden onset of severe lower back pain

Submitted: March 2, 2020
Accepted: March 15, 2020
Published: October 1, 2020
Abstract Views: 600
PDF: 304
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Adrenal myelolipoma (AML) is a rare benign tumor, usually non-functioning and asymptomatic until it reaches large size. AML is mostly detected incidentally by imaging and is composed of adipose tissue and hematopoietic elements. Only symptomatic tumor needs surgical excision. We report the case of a large non-functioning adrenal tumor discovered by means of combined imaging techniques in a middle-aged male patient who complained the sudden onset of severe lower back pain; successful laparoscopic removal was performed, and AML was diagnosed at histopathology.

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Citations

Decmann A, Perge P, Tóth M, Igaz P. Adrenal myelolipoma: a comprehensive review. Endocrine. 2018; 59:7-15. DOI: https://doi.org/10.1007/s12020-017-1473-4
Fassnacht M, Arlt W, Bancos I, et al. Management of adrenal incidentalomas: European Society of Endocrinology Clinical Practice Guideline in collaboration with the European Network for the Study of Adrenal Tumors. Eur J Endocrinol. 2016; 175:G1-G34. doi: 10.1530/EJE-16-0467. DOI: https://doi.org/10.1530/EJE-16-0467
Shenoy VG, Thota A, Shankar R, Desai MG. Adrenal myelolipoma: Controversies in its management. Indian J Urol. 2015; 31:94-101. doi: 10.4103/0970-1591.152807. Review. DOI: https://doi.org/10.4103/0970-1591.152807
Feng C, Jiang H, Ding Q, Wen H. Adrenal myelolipoma: a mingle of progenitor cells ? Med Hypotheses. 2013; 80:819-22. doi: 10.1016/j.mehy.2013.03.021. DOI: https://doi.org/10.1016/j.mehy.2013.03.021
Wale DJ, Wong KK, Viglianti BL, Rubello D, Gross MD. Contemporary imaging of incidentally discovered adrenal masses. Biomed Pharmacother. 2017; 87:256-262. doi: 10.1016/j.biopha.2016.12.090. DOI: https://doi.org/10.1016/j.biopha.2016.12.090
Gunseren KO, Cicek MC, Vuruskan H, Kordan Y, Yavascaoglu I. Challenging risk factors for right and left laparoscopic adrenalectomy: a single centre experience with 272 case. Int Braz J Urol. 2019; 45:747-753. DOI: https://doi.org/10.1590/s1677-5538.ibju.2019.0131
Carvalho JA, Nunes PT, Antunes H, et al. Transumbilical laparoendoscopic single-site adrenalectomy: a feasible and safe alternative to standard laparoscopy. Arch Ital Urol Androl. 2019; 91:1-4. DOI: https://doi.org/10.4081/aiua.2019.1.1

How to Cite

Introini, C., Campodonico, F., Ennas, M., Di Domenico, A., & Foppiani, L. (2020). Non-secreting adrenal myelolipoma in a middle-aged male patient manifesting with sudden onset of severe lower back pain. Archivio Italiano Di Urologia E Andrologia, 92(3). https://doi.org/10.4081/aiua.2020.3.205