Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Department of Pathology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
Indian J Pathol Microbiol. 2022 Jul-Sep;65(3):689-691. doi: 10.4103/ijpm.ijpm_182_21.
Adrenal myelolipoma is a benign tumor-like growth, composed of mature fat cells and bone marrow elements. We report a case of a 44-year lady who presented with a complaint of pain in the abdomen. The only positive finding was contrast-enhanced computed tomography (CECT) whole abdomen, which was suggestive of heterogeneously enhancing hypodense lesion of size 130 mm × 105 mm with few calcifications and 103 mm × 75 mm with intralesional fat attenuation in right and left adrenals. Rest laboratory parameters were normal. Only a few cases so far have been reported for bilateral adrenal myelolipoma but what stands out in our case is its giant size and bilaterality, managed surgically without any complications.
肾上腺骨髓脂肪瘤是一种良性肿瘤样生长，由成熟的脂肪细胞和骨髓成分组成。我们报告了一例 44 岁女性，她因腹痛就诊。唯一的阳性发现是全腹部增强 CT（CECT），提示右、左肾上腺各有一个大小为 130mm×105mm 和 103mm×75mm 的混杂增强的低衰减病灶，其内有少许钙化和脂肪衰减。其余实验室参数正常。到目前为止，只有少数几例双侧肾上腺骨髓脂肪瘤的报道，但我们的病例突出的是其巨大的体积和双侧性，通过手术治疗，没有任何并发症。
