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Inicio Cirugía Española (English Edition) Giant bilateral adrenal myelolipoma
Información de la revista
Vol. 101. Núm. 11.
Páginas 798 (noviembre 2023)
Vol. 101. Núm. 11.
Páginas 798 (noviembre 2023)
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Giant bilateral adrenal myelolipoma
Mielolipoma adrenal gigante bilateral
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10
Miren Padilla Otamendi
Autor para correspondencia
, Alba García Trancho, Lander Gallego Otaegi, Elisabeth Bollo Arocena
Equipo de Cirugía Endocrina, Hospital Universitario Donostia, San Sebastián, Guipúzco, Spain
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A 37-year-old obese woman with a history of classic congenital adrenal hyperplasia was evaluated in the General Surgery outpatient consultation due to clinical signs of abdominal and lumbar pain, associated with great abdominal distention. An abdominal CT scan showed 2 large adrenal-dependent retroperitoneal masses that were displacing neighboring structures, which were well-demarcated and had patchy areas of fat density (Fig. 1). These findings were consistent with giant adrenal myelolipomas.

Fig. 1
(0.28MB).

Given the compressive symptoms and size greater than 10 cm, which carries an increased risk of spontaneous rupture, surgery was indicated. The patient underwent scheduled bilateral adrenalectomy using a bilateral subcostal laparotomy (Fig. 2).

Fig. 2
(0.29MB).
Funding

The authors have received no funding for this article.

Conflict of interest

The authors have no conflict of interests to declare related to the publication of this document.

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