Fernández Ruiz M, Diez Ferez P, Vizcaino López A, Fernández Fernández A, Martínez Pardavila R, Pou Santonja G, Gracia Marzo A
Servicio de Cirugía General, Hospital San Millán, Logroño, La Rioja, España.
Arch Esp Urol. 1995 Jan-Feb;48(1):82-5.
Adrenal hemangiomas are rare tumors that are difficult to diagnose preoperatively. A case of retroperitoneal hemorrhage arising from adrenal hemangioma is described. This uncommon clinical manifestation prompted us to report on the present case and briefly review the scant literature on the diagnostic and therapeutic aspects.
The case described herein is that of a male patient who presented with hematoma in scrotum and penis that had appeared progressively with no previous trauma. The diagnosis was made by abdominal US and CT, which showed a retroperitoneal mass that appeared to be solid. An enlarged adrenal gland with tumoral "blush" was shown on selective vascular evaluation.
En bloc excision of the adrenal gland, left kidney and spleen was performed. The histological analysis revealed adrenal hemangioma.
Adrenal hemangioma is a rare tumor type with no clinical or biological symptoms of a functioning tumor that is generally diagnosed with difficulty preoperatively. The differential diagnosis must be made to distinguish adenoma, carcinoma, nonfunctioning adrenal pheochromocytoma and spontaneous hemorrhage.
肾上腺血管瘤是罕见肿瘤，术前难以诊断。本文描述了一例由肾上腺血管瘤引起的腹膜后出血病例。这种不常见的临床表现促使我们报告该病例，并简要回顾关于诊断和治疗方面的少量文献。
本文所述病例为一名男性患者，其阴囊和阴茎出现血肿，且血肿逐渐出现，此前无外伤史。通过腹部超声和CT进行诊断，结果显示一个似乎为实性的腹膜后肿块。选择性血管评估显示肾上腺增大并有肿瘤“造影剂外溢”。
对肾上腺、左肾和脾脏进行了整块切除。组织学分析显示为肾上腺血管瘤。
肾上腺血管瘤是一种罕见的肿瘤类型，无功能性肿瘤的临床或生物学症状，术前通常难以诊断。必须进行鉴别诊断以区分腺瘤、癌、无功能性肾上腺嗜铬细胞瘤和自发性出血。
