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.
Keywords
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Article info
Publication history
Published online: February 05, 2022
Accepted:
January 20,
2022
Received in revised form:
December 24,
2021
Received:
October 14,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.