Document Detail

Extra-adrenal myelolipoma presenting as efferent limb obstruction.
MedLine Citation:
PMID:  22888458     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Myelolipomas are rare benign lesions composed of mature adipose tissue and immature hematopoetic cells. The adrenal gland is the most common location for these lesions, but cases of extra-adrenal myelolipomas have been described. The predominant location for extra-adrenal myelolipomas is the retroperitoneum, and very few reported cases describe these lesions in the peritoneal cavity. Typically these lesions are incidental findings and asymptomatic, but occasionally can present with symptoms secondary to mass effect. We present the case of a 72 year old man presenting with a gastric outlet obstruction secondary to an epigastric mass. The mass was resected and pathology was consistent with myelolipoma. This case illustrates an atypical location and presentation of a myelolipoma. These are rare tumors with only 5 intra-abdominal myelolipomas reported in the literature. This article is a review of the surgical literature and a discussion on myelolipomas. Knowledge of these rare entities can help ensure proper management of these patients, which may include early surgical intervention.
Alexandria Conley; Elizabeth Klein; E Edhayan; Richard Berri
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Publication Detail:
Type:  Journal Article     Date:  2012-07-25
Journal Detail:
Title:  Case reports in surgery     Volume:  2012     ISSN:  2090-6919     ISO Abbreviation:  Case Rep Surg     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-08-23     Revised Date:  2013-04-02    
Medline Journal Info:
Nlm Unique ID:  101580191     Medline TA:  Case Rep Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  718383     Citation Subset:  -    
Section of Surgical Oncology, Department of Surgery, Van Eslander Cancer Center, St. John Hospital and Medical Center, Detroit, MI 48236, USA.
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