A case of adrenal cavernous hemangioma resected due to tumor growth accompanied by intratumoral hemorrhage

Q4 Medicine IJU Case Reports Pub Date : 2024-07-09 DOI:10.1002/iju5.12760

Takayuki Ueda, Masato Yanagi, Takashi Kusakabe, Takeshi Shigihara, Mikio Shibasaki, Masato Nagasawa, Tsutomu Hamasaki, Yukihiro Kondo

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Abstract

Introduction

We describe a case of an adrenal cavernous hemangioma that was surgically resected because of tumor growth and intratumoral hemorrhage.

Case presentation

A 73-year-old woman presented with an enlarged adrenal tumor and intratumoral hemorrhage during the follow-up of an incidental adrenal tumor. A computed tomography showed that the left adrenal tumor had grown from 23 to 44 mm over 1 year. Blood tests revealed a normal metabolic profile. Paragangliomas and metastatic tumors were suspected on imaging. Laparoscopic adrenalectomy was performed to prevent tumor rupture due to further bleeding. No adhesions or bleeding were observed around the tumor during surgery. Pathological diagnosis was adrenal cavernous hemangioma.

Conclusion

Adrenal cavernous hemangioma is difficult to distinguish preoperatively from other adrenal tumors, including malignant tumors. The intraoperative findings of this case suggest that laparoscopic adrenalectomy is a safe treatment option for relatively small adrenal cavernous hemangioma.

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一例因肿瘤生长伴瘤内出血而切除的肾上腺海绵状血管瘤病例

我们描述了一例肾上腺海绵状血管瘤病例，该病例因肿瘤生长和瘤内出血而被手术切除。一名 73 岁的女性在随访偶然发现的肾上腺肿瘤期间，出现肾上腺肿瘤增大和瘤内出血。计算机断层扫描显示，左侧肾上腺肿瘤在一年内从23毫米增大到44毫米。血液检查显示代谢情况正常。影像学检查怀疑是副神经节瘤和转移性肿瘤。为防止进一步出血导致肿瘤破裂，患者接受了腹腔镜肾上腺切除术。手术中未发现肿瘤周围有粘连或出血。肾上腺海绵状血管瘤在术前很难与其他肾上腺肿瘤（包括恶性肿瘤）区分开来。本病例的术中发现表明，腹腔镜肾上腺切除术是治疗相对较小的肾上腺海绵状血管瘤的安全选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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