Symptomatic Extra-Adrenal Myelolipoma in the Spleen
A 42-year-old male patient presented with intermittent abdominal pain and gastrointestinal discomfort present for 4 years. Work-up included ultrasound and computed tomography, which identified a fat-containing splenic mass 5.6 cm in size. Due to recurrent symptoms, the patient sought medical care ag...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/8839178 |
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| _version_ | 1849683899262697472 |
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| author | Jonathan A. Nitz Jeremy Huckleby Elise H. Hwang Melissa G. Medina Samuel J. Pera Sonia T. Orcutt |
| author_facet | Jonathan A. Nitz Jeremy Huckleby Elise H. Hwang Melissa G. Medina Samuel J. Pera Sonia T. Orcutt |
| author_sort | Jonathan A. Nitz |
| collection | DOAJ |
| description | A 42-year-old male patient presented with intermittent abdominal pain and gastrointestinal discomfort present for 4 years. Work-up included ultrasound and computed tomography, which identified a fat-containing splenic mass 5.6 cm in size. Due to recurrent symptoms, the patient sought medical care again. Subsequent images showed an increase in size to 7.6 cm, which was concerning for neoplasm. This was removed via open splenectomy, which was challenging due to intra-abdominal adhesions despite never having had any abdominal surgery. The patient’s recovery was uncomplicated. Pathologic assessment indicated that the mass was a myelolipoma. Extra-adrenal myelolipomas are rare and typically found within the retroperitoneum but are extremely rare within the spleen. This case report adds the 6th such case to the literature and demonstrates the need for it to remain in the differential diagnosis of patients with fatty splenic masses, as well as that splenectomy is an appropriate treatment. |
| format | Article |
| id | doaj-art-cb2d4d24e33a42879afd863fa5226114 |
| institution | DOAJ |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-cb2d4d24e33a42879afd863fa52261142025-08-20T03:23:38ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88391788839178Symptomatic Extra-Adrenal Myelolipoma in the SpleenJonathan A. Nitz0Jeremy Huckleby1Elise H. Hwang2Melissa G. Medina3Samuel J. Pera4Sonia T. Orcutt5Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USADepartment of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USADepartment of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USADepartment of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USADepartment of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USADepartment of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL, USAA 42-year-old male patient presented with intermittent abdominal pain and gastrointestinal discomfort present for 4 years. Work-up included ultrasound and computed tomography, which identified a fat-containing splenic mass 5.6 cm in size. Due to recurrent symptoms, the patient sought medical care again. Subsequent images showed an increase in size to 7.6 cm, which was concerning for neoplasm. This was removed via open splenectomy, which was challenging due to intra-abdominal adhesions despite never having had any abdominal surgery. The patient’s recovery was uncomplicated. Pathologic assessment indicated that the mass was a myelolipoma. Extra-adrenal myelolipomas are rare and typically found within the retroperitoneum but are extremely rare within the spleen. This case report adds the 6th such case to the literature and demonstrates the need for it to remain in the differential diagnosis of patients with fatty splenic masses, as well as that splenectomy is an appropriate treatment.http://dx.doi.org/10.1155/2020/8839178 |
| spellingShingle | Jonathan A. Nitz Jeremy Huckleby Elise H. Hwang Melissa G. Medina Samuel J. Pera Sonia T. Orcutt Symptomatic Extra-Adrenal Myelolipoma in the Spleen Case Reports in Surgery |
| title | Symptomatic Extra-Adrenal Myelolipoma in the Spleen |
| title_full | Symptomatic Extra-Adrenal Myelolipoma in the Spleen |
| title_fullStr | Symptomatic Extra-Adrenal Myelolipoma in the Spleen |
| title_full_unstemmed | Symptomatic Extra-Adrenal Myelolipoma in the Spleen |
| title_short | Symptomatic Extra-Adrenal Myelolipoma in the Spleen |
| title_sort | symptomatic extra adrenal myelolipoma in the spleen |
| url | http://dx.doi.org/10.1155/2020/8839178 |
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