Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization
Introduction Adrenal myelolipoma is a benign adrenal tumor that is typically asymptomatic and is rarely associated with hemorrhage or rupture. Here, we present a case of adrenal myelolipoma with spontaneous hemorrhage. Case presentation A 72‐year‐old man with a history of obesity and hypertension vi...
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Wiley
2025-03-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12821 |
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| author | Itsuho Ito Kosuke Takehara Yuya Miyazaki Ayaka Tsuchiyama Yuta Mukae Koichi Hayakawa Ichiro Sakamoto Junji Irie Junichi Watanabe |
| author_facet | Itsuho Ito Kosuke Takehara Yuya Miyazaki Ayaka Tsuchiyama Yuta Mukae Koichi Hayakawa Ichiro Sakamoto Junji Irie Junichi Watanabe |
| author_sort | Itsuho Ito |
| collection | DOAJ |
| description | Introduction Adrenal myelolipoma is a benign adrenal tumor that is typically asymptomatic and is rarely associated with hemorrhage or rupture. Here, we present a case of adrenal myelolipoma with spontaneous hemorrhage. Case presentation A 72‐year‐old man with a history of obesity and hypertension visited the Department of Emergency Medicine with a sudden onset of severe left flank pain. Enhanced computed tomography showed a left adrenal tumor containing a fat component with a focus of contrast medium visualized extravasation. The patient was diagnosed with adrenal myelolipoma with spontaneous hemorrhage. Selective adrenal arterial embolization was performed to manage the severe pain, and the condition immediately improved. Four months later, laparoscopic left adrenalectomy was performed via a transperitoneal approach. Histopathological examination confirmed the diagnosis of adrenal myelolipoma. Conclusion Urgent transarterial embolization followed by elective laparoscopic adrenalectomy is a safe and minimally invasive treatment option for managing adrenal myelolipomas with hemorrhage. |
| format | Article |
| id | doaj-art-040ea4604c494ff794d1b60eb122f394 |
| institution | DOAJ |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-040ea4604c494ff794d1b60eb122f3942025-08-20T02:55:25ZengWileyIJU Case Reports2577-171X2025-03-018211411710.1002/iju5.12821Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolizationItsuho Ito0Kosuke Takehara1Yuya Miyazaki2Ayaka Tsuchiyama3Yuta Mukae4Koichi Hayakawa5Ichiro Sakamoto6Junji Irie7Junichi Watanabe8Department of Urology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Urology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Urology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Urology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Urology Nagasaki Harbor Medical Center Nagasaki JapanCoordination Office for Emergency Medicine and International Response, Acute and Critical Care Center, Nagasaki University Hospital Nagasaki JapanDepartment of Radiology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Pathology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Urology Nagasaki Harbor Medical Center Nagasaki JapanIntroduction Adrenal myelolipoma is a benign adrenal tumor that is typically asymptomatic and is rarely associated with hemorrhage or rupture. Here, we present a case of adrenal myelolipoma with spontaneous hemorrhage. Case presentation A 72‐year‐old man with a history of obesity and hypertension visited the Department of Emergency Medicine with a sudden onset of severe left flank pain. Enhanced computed tomography showed a left adrenal tumor containing a fat component with a focus of contrast medium visualized extravasation. The patient was diagnosed with adrenal myelolipoma with spontaneous hemorrhage. Selective adrenal arterial embolization was performed to manage the severe pain, and the condition immediately improved. Four months later, laparoscopic left adrenalectomy was performed via a transperitoneal approach. Histopathological examination confirmed the diagnosis of adrenal myelolipoma. Conclusion Urgent transarterial embolization followed by elective laparoscopic adrenalectomy is a safe and minimally invasive treatment option for managing adrenal myelolipomas with hemorrhage.https://doi.org/10.1002/iju5.12821adrenal myelolipomaarterial embolizationhemorrhagelaparoscopic adrenalectomy |
| spellingShingle | Itsuho Ito Kosuke Takehara Yuya Miyazaki Ayaka Tsuchiyama Yuta Mukae Koichi Hayakawa Ichiro Sakamoto Junji Irie Junichi Watanabe Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization IJU Case Reports adrenal myelolipoma arterial embolization hemorrhage laparoscopic adrenalectomy |
| title | Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| title_full | Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| title_fullStr | Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| title_full_unstemmed | Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| title_short | Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| title_sort | spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization |
| topic | adrenal myelolipoma arterial embolization hemorrhage laparoscopic adrenalectomy |
| url | https://doi.org/10.1002/iju5.12821 |
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