Laceration of a benign adrenal adenoma mimicking a splenic rupture.

Abstract

Lacerations of adrenal tumors are very rare events and have been described for myelolipoma, pheochromocytoma, and cortisol-producing adenoma. We report on a patient who was admitted with suspected splenic rupture. Computed tomography showed a mass 14 cm in diameter adjacent to the spleen, but selective angiography revealed blood supply by the left suprarenal artery. A ruptured adrenal tumor was therefore diagnosed and resected. No hormone production was detected. Histologically a benign adrenal adenoma was found. Frequency, diagnosis and therapy of adrenal masses are discussed.

• Authors: H Cerwenka, R Karaic, J Pfeifer, G Wolf
• Journal: Langenbeck's archives of surgery (Langenbecks Arch Surg) Vol. 383 Issue 3-4 Pg. 249-51 (Aug 1998) ISSN: 1435-2443 [Print] Germany
• PMID: 9776451 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma (diagnosis, pathology)
• Adrenal Gland Neoplasms (diagnosis, pathology)
• Adult
• Angiography
• Diagnosis, Differential
• Hemorrhage (diagnosis)
• Humans
• Male
• Rupture, Spontaneous
• Splenic Rupture (diagnosis)
• Tomography, X-Ray Computed