Giant adrenal hemangioma: Unusual cause of huge abdominal mass

Tarchouli, Mohamed; Boudhas, Adil; Ratbi, Moulay Brahim; Essarghini, Mohamed; Njoumi, Noureddine; Sair, Khalid; Zentar, Aziz

doi:10.5489/cuaj.2967

Cited by 11 publications

(14 citation statements)

References 8 publications

(7 reference statements)

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“…The mass in our patient had many of the imaging characteristics of adrenocortical carcinoma including size more than 4 cm, heterogeneous appearance, irregular enhancement pattern, delayed washout of contrast, and the presence of calcifications. Although calcifications are frequently present in adrenocortical carcinoma, calcifications are a nonspecific finding and may be seen in a variety of malignant and benign (hemorrhage, tuberculosis, and neuroblastoma) adrenal lesions [ 12 ], including hemangioma [ 1 , 12 ]. The CT findings in adrenal hemangioma overlap with those of adrenocortical carcinoma and other lesions [ 1 , 12 – 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although calcifications are frequently present in adrenocortical carcinoma, calcifications are a nonspecific finding and may be seen in a variety of malignant and benign (hemorrhage, tuberculosis, and neuroblastoma) adrenal lesions [ 12 ], including hemangioma [ 1 , 12 ]. The CT findings in adrenal hemangioma overlap with those of adrenocortical carcinoma and other lesions [ 1 , 12 – 14 ]. Therefore, the diagnosis is usually not made prior to surgery [ 12 , 14 ], as in our patient.…”

Section: Discussionmentioning

confidence: 99%

“…While there are limited data, adrenal hemangiomas have been found in a 2 : 1 female to male ratio, are usually unilateral, and have been found most often in the 6th and 7th decades of life [ 2 ]. These lesions range from 2 to 25 cm in diameter and typically are larger than 10 cm [ 1 ]. One case report describes a 42 cm adrenal hemangioma [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…These lesions range from 2 to 25 cm in diameter and typically are larger than 10 cm [ 1 ]. One case report describes a 42 cm adrenal hemangioma [ 1 ]. While usually asymptomatic, patients with adrenal hemangiomas may present with abdominal pain due to mass effect or hypovolemic shock due to hemorrhage from the mass.…”

Section: Discussionmentioning

confidence: 99%

“…Adrenal hemangiomas are rare benign nonfunctional tumors typically found incidentally with imaging. Since the first reported case in 1955, there have been about 90 reported cases in the literature [ 1 ]. Most adrenal hemangiomas are cavernous, while a rare capillary type has also been seen [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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A Rare Adrenal Incidentaloma That Mimics Adrenocortical Carcinoma

Lavingia

Torabi

Kim

et al. 2018

Case Reports in Surgery

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Objective We present a case of an adrenal hemangioma, an uncommon cause of an adrenal mass, and review the clinical presentation, work-up, and management of adrenal incidentalomas. Background A 64-year-old male was found to have a right adrenal incidentaloma during work-up for elevated liver transaminase levels, later found to be from hepatitis C. The mass was suspicious for adrenocortical carcinoma on CT imaging. Biochemical evaluation revealed no evidence of function. He underwent an open right adrenalectomy. The mass was found to be an adrenal hemangioma on histopathologic analysis. Methods This is a case report with pertinent review of the diagnosis and management of adrenal incidentalomas. Results Adrenal hemangiomas are rare, benign, nonfunctional tumors typically found during imaging for other reasons. As illustrated by this case, they appear similar to adrenocortical carcinoma on CT imaging. The diagnosis is usually not made prior to surgical resection. Conclusion Adrenal hemangioma is a rare nonfunctional adrenal incidentaloma that displays atypical features on CT imaging. The suspicion for adrenocortical carcinoma usually prompts adrenalectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Rare Adrenal Incidentaloma That Mimics Adrenocortical Carcinoma

Lavingia

Torabi

Kim

et al. 2018

Case Reports in Surgery

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An imaging and diagnostic conundrum—the adrenal haemangioma

Tan,

Diab,

Chia

et al. 2024

Journal of Surgical Case Reports

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The adrenal haemangioma, a rare benign vascular tumour, is increasingly detected through abdominal imaging. Just over 70 surgical cases have been reported since 1955. Their potential large size and overlapping imaging features with adrenocortical carcinoma poses a diagnostic challenge. Adrenalectomy is often needed for a definitive diagnosis due to inconclusive imaging. We report the case of a 61-year-old female presenting with an incidental finding of a right-sided 9.5-cm adrenal mass on imaging. Due to the risk of adrenocortical carcinoma with inconclusive imaging findings, an open right adrenalectomy was performed. The patient was discharged after 6 days with no complications. Post-surgical histopathology confirmed a diagnosis of adrenal haemangioma with a secondary adrenal pseudocyst. The presence of an adrenal incidentaloma with discordant radiological features proves to be a diagnostic conundrum. Therefore, in the setting of contradictory radiology and concerning mass size, we recommend adrenalectomy for definitive diagnosis of an adrenal haemangioma.

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Adrenal Cavernous Hemangioma: A Rarely Perceived Pathology—Case Illustration and Review of Literature

Degheili

Heidar

El-Moussawi

et al. 2019

Case Reports in Pathology

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Cavernous hemangiomas are endothelial tumors that rarely affect the adrenal glands. Most of these tumors remain silent and are incidentally found on abdominal imaging. Hardly ever, these tumors are endocrinologically functional. They may present as vague abdominal pain. Surgical resection remains the mainstay for large masses. In this paper, we are presenting a case of adrenal cavernous hemangioma in a 83-year-old male patient who initially presented for workup of vague abdominal and bilateral flank pain. A computed tomography scan of the abdomen showed an 8 cm right adrenal adenoma which was metabolically nonfunctional. The mass was completely resected through an open subcostal incision, with no encountered postoperative complications. A highlight of all published cases of adrenal hemangiomas since 1955 is also presented and reviewed.

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Giant adrenal hemangioma: Unusual cause of huge abdominal mass

Cited by 11 publications

References 8 publications

A Rare Adrenal Incidentaloma That Mimics Adrenocortical Carcinoma

A Rare Adrenal Incidentaloma That Mimics Adrenocortical Carcinoma

An imaging and diagnostic conundrum—the adrenal haemangioma

Adrenal Cavernous Hemangioma: A Rarely Perceived Pathology—Case Illustration and Review of Literature

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