Adrenal Myelolipoma With Spontaneous Hemorrhage

Anterior Transabdominal Laparoscopic Adrenalectomy, without Ligatures, for a Symptomatic Right Adrenal Myelolipoma with Intratumoral Hemorrhage

“…Their size is, in general, under 4 cm, but they can also reach greater size (the greatest myelolipoma described in the literature was of 31x24.5x11.5 cm and weighted 6 kg) (5,6,10,11). Symptomatic forms usually present with unregulated pain in the epigastrium and flanks (right or left depending of the localization of the tumor), abdominal discomfort, rarely hematuria or signs of hemorrhagic shock caused by spontaneous rupture of the tumor, with retroperitoneal bleeding (2,3,5,7,9,12,13,14).…”