Case Reports

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

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Received: 2 March 2020
Published: 1 October 2020
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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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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

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Non-secreting adrenal myelolipoma in a middle-aged male patient manifesting with sudden onset of severe lower back pain. (2020). Archivio Italiano Di Urologia E Andrologia, 92(3). https://doi.org/10.4081/aiua.2020.3.205