Document Detail

Acute abdominal pain secondary to retroperitoneal bleeding from a giant adrenal lipoma with review of literature.
MedLine Citation:
PMID:  19656758     Owner:  NLM     Status:  MEDLINE    
Adrenal lipomas are rare, non-functioning benign tumours, which are primarily detected during autopsy or imaging, as asymptomatic incidentalomas. Occasionally, they can present with abdominal pain due to their large size. Imaging studies help to determine the origin, volume, composition of the lesion and presence of bleeding. Histopathology, however, is necessary to differentiate an adrenal lipoma from other fatty tumours such as myelolipoma, angiomyolipomas, teratomas and liposarcomas. We report a case of spontaneous bleeding from a giant adrenal lipoma that presented as an acute abdomen, and was initially mistaken on imaging for the more common myelolipoma. The literature is reviewed to discuss the clinical, pathological and radiological features, and the optimum therapeutic management.
Reyaz M Singaporewalla; Thomas P Thamboo; Abu Rauff; Wei K Cheah; Jagat J Mukherjee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Asian journal of surgery / Asian Surgical Association     Volume:  32     ISSN:  0219-3108     ISO Abbreviation:  Asian J Surg     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-08-06     Completed Date:  2009-12-22     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  8900600     Medline TA:  Asian J Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  172-6     Citation Subset:  IM    
Department of Surgery, National University Hospital, Singapore.
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MeSH Terms
Abdomen, Acute / etiology*
Adrenal Gland Neoplasms / complications,  diagnosis,  surgery*
Hemorrhage / etiology*
Lipoma / complications,  diagnosis,  surgery*
Retroperitoneal Space

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