Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome
Adrenal incidentalomas are commonly encountered in this era of ubiquitous imaging. The attenuation of the incidentaloma measured in Hounsfield units (HU) is an important step in the work up. Attenuation less than 10 HU indicates a benign lesion in more than 98% of cases, whereas attenuation greater...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2013/379852 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849467537191862272 |
|---|---|
| author | Subramanian Kannan Ankita Satra Amir Hamrahian |
| author_facet | Subramanian Kannan Ankita Satra Amir Hamrahian |
| author_sort | Subramanian Kannan |
| collection | DOAJ |
| description | Adrenal incidentalomas are commonly encountered in this era of ubiquitous imaging. The attenuation of the incidentaloma measured in Hounsfield units (HU) is an important step in the work up. Attenuation less than 10 HU indicates a benign lesion in more than 98% of cases, whereas attenuation greater than 30 HU is highly suspicious for adrenocortical cancer (ACC). Adrenal hematoma is rarely suspected clinically and exhibits no specific clinical symptoms or laboratory findings. There are multiple radiological features of adrenal hemorrhage and can mimic ACC. We present a case of an adrenal mass in a patient with antiphospholipid syndrome and discuss radiological clues to differentiate adrenal hematomas from ACC and thus avoid unnecessary surgical intervention. |
| format | Article |
| id | doaj-art-e71d463f6ffc4395be5b43962278efc5 |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-e71d463f6ffc4395be5b43962278efc52025-08-20T03:26:10ZengWileyCase Reports in Endocrinology2090-65012090-651X2013-01-01201310.1155/2013/379852379852Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid SyndromeSubramanian Kannan0Ankita Satra1Amir Hamrahian2Department of Endocrinology, Diabetes and Metabolism, Cleveland Clinic Foundation, 9500 Euclid Avenue Desk F20, Cleveland, OH 44195, USADepartment of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue Desk F20, Cleveland, OH 44195, USADepartment of Endocrinology, Diabetes and Metabolism, Cleveland Clinic Foundation, 9500 Euclid Avenue Desk F20, Cleveland, OH 44195, USAAdrenal incidentalomas are commonly encountered in this era of ubiquitous imaging. The attenuation of the incidentaloma measured in Hounsfield units (HU) is an important step in the work up. Attenuation less than 10 HU indicates a benign lesion in more than 98% of cases, whereas attenuation greater than 30 HU is highly suspicious for adrenocortical cancer (ACC). Adrenal hematoma is rarely suspected clinically and exhibits no specific clinical symptoms or laboratory findings. There are multiple radiological features of adrenal hemorrhage and can mimic ACC. We present a case of an adrenal mass in a patient with antiphospholipid syndrome and discuss radiological clues to differentiate adrenal hematomas from ACC and thus avoid unnecessary surgical intervention.http://dx.doi.org/10.1155/2013/379852 |
| spellingShingle | Subramanian Kannan Ankita Satra Amir Hamrahian Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome Case Reports in Endocrinology |
| title | Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome |
| title_full | Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome |
| title_fullStr | Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome |
| title_full_unstemmed | Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome |
| title_short | Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome |
| title_sort | incidental lipid poor adrenal mass in a patient with antiphospholipid syndrome |
| url | http://dx.doi.org/10.1155/2013/379852 |
| work_keys_str_mv | AT subramaniankannan incidentallipidpooradrenalmassinapatientwithantiphospholipidsyndrome AT ankitasatra incidentallipidpooradrenalmassinapatientwithantiphospholipidsyndrome AT amirhamrahian incidentallipidpooradrenalmassinapatientwithantiphospholipidsyndrome |