Rkik Mustapha, Fadil Youssef, Elidrissi Oussama, Dakir Mohammed, Debbagh Adil, Aboutaieb Rachid
University Hospital Center Ibn Rochd Casablanca, Morocco.
Faculté de Médicine et de Pharmacie Casablanca, Morocco.
Urol Case Rep. 2020 Dec 18;35:101541. doi: 10.1016/j.eucr.2020.101541. eCollection 2021 Mar.
Adrenal myelolipoma is a rare, benign, non-functioning tumor, composed of mature adipose tissue and hematopoietic cells. We present the case of a 26-year-old woman who presented with abdominal distention and right back pain radiating to the right hypochondrium. Computed tomography of the abdomen revealed a large retroperitoneal mass, which was suspected to be a retroperitoneal liposarcoma. All hormonal studies related to adrenal gland were within normal limits. Open surgery resection was performed. Histopathology showed an adrenal myelolipoma with 39 × 21.5 × 8.5 cm and weighting 4930 g h. The patient evolved with an uneventful postoperative period.
肾上腺髓质脂肪瘤是一种罕见的良性无功能肿瘤，由成熟脂肪组织和造血细胞组成。我们报告一例26岁女性患者，该患者表现为腹胀及放射至右季肋区的右背部疼痛。腹部计算机断层扫描显示一个巨大的腹膜后肿块，怀疑为腹膜后脂肪肉瘤。所有与肾上腺相关的激素检查均在正常范围内。实施了开放手术切除。组织病理学显示为一个大小为39×21.5×8.5厘米、重4930克的肾上腺髓质脂肪瘤。患者术后恢复顺利。
