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Unusual presentation of adrenal hemangioma as an incidental large adrenal hematoma - A case report

Published:February 05, 2022DOI:https://doi.org/10.1016/j.clinimag.2022.01.007

      Highlights

      • Adrenal hemangiomas are very rare, non-functioning, benign tumors that are usually incidentally detected and large in size at diagnosis.
      • They have varied imaging appearances however imaging can help in the diagnosis and surgical planning especially in large tumors that infiltrate into adjacent structures particularly vascular structures. Pre-operative planning with imaging can reduce the risk of operative complications.
      • Surgical resection is recommended in large tumors more than 4 cm in size in view of the risk of bleeding and malignancy mimicry.
      • Patient age, hormonal symptoms, history of non-adrenal malignancy, and biochemical test results should be considered in imaging diagnosis.

      Abstract

      Adrenal hemangiomas are exceedingly rare benign tumors. Hemangiomas are commonly found in the skin and liver. When they arise in the adrenal gland, they are typically found incidentally on imaging, large size at presentation and are usually surgically resected in view of their large size and heterogeneous imaging appearance. We present a 66-year-old female who presented with right abdominal pain and weight loss and was found to have a large adrenal hematoma arising from a hemangioma.

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