Tarchouli Mohamed, Boudhas Adil, Ratbi Moulay Brahim, Essarghini Mohamed, Njoumi Noureddine, Sair Khalid, Zentar Aziz
Department of Digestive Surgery I, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco;
Department of Pathology, Mohammed V Military Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco;
Can Urol Assoc J. 2015 Nov-Dec;9(11-12):E834-6. doi: 10.5489/cuaj.2967. Epub 2015 Nov 4.
Adrenal hemangioma is an extremely rare benign and non-functioning neoplasm of the adrenal gland. We report a case of a 71-year-old woman admitted for intermittent abdominal pain and abdominal distension associated with vomiting and chronic constipation for 5 years. Physical examination revealed a large abdominal mass. Both computed tomography scan and magnetic resonance imaging suggested hemangioma in the right lobe of the liver. Laboratory examinations and tumour markers were within normal limits, except for hypochromic microcytic anemia. The mass was removed intact by conventional surgery and histopathology revealed a cavernous hemangioma of the adrenal gland with no signs of malignancy. Surgical resection was curative, with no recurrence at the 2-year follow-up.
肾上腺血管瘤是一种极其罕见的肾上腺良性无功能肿瘤。我们报告一例71岁女性病例,该患者因间歇性腹痛、腹胀伴呕吐及慢性便秘5年入院。体格检查发现腹部有一巨大肿块。计算机断层扫描和磁共振成像均提示肝右叶血管瘤。实验室检查及肿瘤标志物均在正常范围内,仅存在低色素小细胞性贫血。通过传统手术完整切除肿块,组织病理学检查显示为肾上腺海绵状血管瘤,无恶性迹象。手术切除可治愈,2年随访未复发。