Kansoun Alaa, El-Helou Etienne, Mazraani Houssam Bashir, Nassif Ali, Bassil Georges, Neaime Georges Robert, Ibrahim Serge, Kassem Moussa Houssein Amin, Boustany Sora, Karam Beatrice, Jrad Grace, Tawk Sammy, Alam Houssam
Lebanese University, Faculty of Medical Sciences, Department of General Surgery, Beirut, Lebanon.
Lebanese University, Faculty of Medical Sciences, Department of Nephrology, Beirut, Lebanon.
Int J Surg Case Rep. 2020;77:442-445. doi: 10.1016/j.ijscr.2020.11.024. Epub 2020 Nov 7.
Adrenal incidentalomas are tumors found accidentally by imaging. Among the incidentalomas, hemangiomas are quite rare and in certain cases their surgical intervention should never be overlooked.
We present a case of 70 years old Lebanese female with an adrenal tumor presented as syncope found to have anemia on presentation and a bleeding 17 cm adrenal tumor on imaging. Patient had workup to rule out functioning adrenal tumors and decision to excise the tumor was taken after failure of embolization. Pathology report denied malignancy despite of the huge size and was in favor of hemangioma.
Adrenal hemangiomas are rare and they rarely present as syncope. Attention to such a life-threatening condition should be sustained. Embolization is primarily implied but one should never neglect the failure rate and the need for surgical intervention.
肾上腺偶发瘤是通过影像学检查意外发现的肿瘤。在偶发瘤中，血管瘤相当罕见，在某些情况下，其手术干预绝不能被忽视。
我们报告一例70岁黎巴嫩女性，患有肾上腺肿瘤，表现为晕厥，就诊时发现贫血，影像学检查显示肾上腺有一个17厘米的出血性肿瘤。患者进行了检查以排除功能性肾上腺肿瘤，在栓塞治疗失败后决定切除肿瘤。病理报告排除了恶性肿瘤，尽管肿瘤体积巨大，诊断为血管瘤。
肾上腺血管瘤罕见，很少表现为晕厥。应持续关注这种危及生命的情况。栓塞治疗是主要手段，但绝不能忽视其失败率以及手术干预的必要性。
