BILATERAL GIANT ADRENAL MYELOLIPOMA: A RARE CASE OCCURRENCE

2021 ◽  
pp. 80-81
Author(s):  
Soumya Dey ◽  
S M Sarfaraj ◽  
Chhanda Datta
Keyword(s):  
Bone Marrow ◽  
Adipose Tissue ◽  
Abdominal Pain ◽  
Adrenal Gland ◽  
Rare Case ◽  
Adrenal Myelolipoma ◽  
Mature Adipose Tissue ◽  
Operative Complications ◽  
Post Operative Complications

Myelolipoma is a combined lesion involving mature adipose tissue and bone marrow elements. Adrenal gland is the commonest site of myelolipoma. Usually these lesions are asymptomatic, unilateral and small in size. Occasionally myelolipomas become enormous and symptomatic depending on the location. Here we describe a case of bilateral giant adrenal myelolipoma presenting with abdominal pain. The case was managed surgically without any post-operative complications.

Adrenal Myelolipoma

1998 ◽  
Vol 65 (4) ◽  
pp. 569-570
Author(s):  
C. Constantinides ◽  
I. Mitsogiannis ◽  
A. Kyroudi ◽  
Th. Manousakas ◽  
D. Pantazopoulos ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Adipose Tissue ◽  
Adrenal Gland ◽  
Benign Tumour ◽  
Adrenal Myelolipoma ◽  
Mature Adipose Tissue

Myelolipoma of the adrenal gland is an unusual, benign tumour which is composed of mature adipose tissue and hematopoietic elements, similar to those of bone marrow. The tumour is hormonally inactive and unilateral although four cases in which the tumour has been found bilaterally have been reported. Extra adrenal myelolipoma has also been reported in the kidney, the liver and the presacral area. We present the case of an asymptomatic adrenal myelolipoma in a 68-year-old man, which was surgically removed.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

Bone Tissue in Adrenal Myelolipoma: A Case Report

1998 ◽  
Vol 84 (1) ◽  
pp. 90-93 ◽  
Author(s):  
Armando Rossi ◽  
Roberto Incensati
Keyword(s):  
Adipose Tissue ◽  
Case Report ◽  
Adrenal Gland ◽  
Bone Tissue ◽  
Mesenchymal Cells ◽  
Hematopoietic Tissue ◽  
Adrenal Myelolipoma ◽  
Single Process

This paper describes a case of adrenal myelolipoma with an unusual characteristic: the presence of bone spicules. The lesion was associated with an accessory adrenal gland containing foci of myeloadiposis. The authors believe that myelolipoma and myeloadiposis are closely associated and are in fact the expression of a single process that is both focal (myeloadiposis) and diffuse (myelolipoma). The process consists of the differentiation of choristomatous primitive mesenchymal cells into hematopoietic tissue, adipose tissue and, in rare cases, bone tissue.

scholarly journals Symmetric Lipomatosis Arising in the Tongue Presenting as Macroglossia and Articulatory Disorder

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Masanori Kudoh ◽  
Ken Omura ◽  
Arata Satsukawa ◽  
Koshi Matsumoto ◽  
Takahide Taguchi ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Speech Intelligibility ◽  
Rare Case ◽  
Rare Condition ◽  
Chronic Alcoholism ◽  
Diffuse Infiltration ◽  
Mature Adipose Tissue ◽  
Resected Tumor ◽  
History Of ◽  
Partial Glossectomy

Symmetric lipomatosis is definitively characterized by symmetric, tumorous lipomatous proliferation of adipose tissue that often develops in the head and neck, shoulders, and upper trunk. However, in the oral region, symmetric lipomatosis of the tongue (SLT) is an extremely rare condition related to generalized lipidosis that is often caused by chronic alcoholism. It is characterized by multiple symmetric lipomatous nodules and diffuse bilateral swelling located within the tongue. We report an extremely rare case of SLT arising in an 80-year-old man with a long history of alcoholic liver cirrhosis. He exhibited multiple soft nodular protrusions on the bilateral margin of the tongue presenting as macroglossia for years. Although MR imaging showed multiple fatty masses on both sides of the tongue, there was no elevated tumor mass on the bilateral margin. The patient underwent bilateral partial glossectomy under general anesthesia. Histopathologically, the resected tumor exhibited diffuse infiltration with mature adipose tissue lacking a fibrous capsule. Due to the lipidosis and the unusual presentation of multiple lesions, the lesion was ultimately diagnosed as SLT. At present, after surgery, the patient wears a full-denture and is in excellent condition, with no sign of recurrence, improved QOL, and recovery of masticatory, articulatory, and speech intelligibility functions.

scholarly journals Adrenal Myelolipoma

2015 ◽  
Vol 1 (4) ◽  
pp. 50-51
Author(s):  
B Khadka ◽  
D B Karki ◽  
B Parmer
Keyword(s):  
Bone Marrow ◽  
Needle Aspiration ◽  
Health Sciences ◽  
Abdominal Discomfort ◽  
Aspiration Cytology ◽  
Adrenal Myelolipoma ◽  
Fine Needle ◽  
Mature Adipose Tissue ◽  
Image Guided ◽  
Needle Aspiration Cytology

Adrenal myelolipoma is a rare, benign, usually unilateral, endocrinologically inactive tumor composed of mainly mature adipose tissue and hematopoietic elements that resemble bone marrow. It almost always occurs within adrenal gland but they have been reported in other locations. Most patients are asymptomatic and the lesion is discovered incidentally. We report a case of 35 years old lady who had just come for regular check up with vague abdominal discomfort on right side. Radiological investigations showed a large right sided adrenal myelolipoma. Image guided fine needle aspiration cytology was done, which confirmed the diagnosis.DOI: http://dx.doi.org/10.3126/jmmihs.v1i4.12002Journal of Manmohan Memorial Institute of Health Sciences Vol. 1, Issue 4, 2015Page: 50-51

scholarly journals Clinical predictors and outcome of bowel resection in paediatric intussusception

2020 ◽  
Vol 20 (3) ◽  
pp. 1463-1470
Author(s):  
Akinlabi E Ajao ◽  
Taiwo A Lawal ◽  
Olakayode O Ogundoyin ◽  
Dare I Olulana
Keyword(s):  
Developing Countries ◽  
Abdominal Pain ◽  
Hospital Stay ◽  
Bowel Resection ◽  
Length Of Hospital Stay ◽  
Clinical Predictors ◽  
College Hospital ◽  
Duration Of Symptoms ◽  
Operative Complications ◽  
Post Operative Complications

Introduction: Surgery remains the mainstay in treating intussusception in developing countries, with a correspondingly high bowel resection rate despite a shift to non-operative reduction in high-income countries. Objective: To assess factors associated with bowel resection and the outcomes of resection in childhood intussusception. Methods: A review of children with intussusception between January 2006 and December 2015 at the University College Hospital, Ibadan, Nigeria. The patients were categorized based on the need for bowel resection and analysis done using the SPSS version 23. Results: 121 children were managed for intussusception during this period. 53 (43.8%) had bowel resection, 61 (50.4%) did not require resection and 7 (5.8%) were unknown. 40 (75.5%) of the resections were right hemi-colectomy. The presence of fever, abdominal pain, distension, rectal mass, age < 12 months, heart rate > 145/min and duration of symptoms > 2 days were associated with the need for bowel resection (p < 0.05). However, only age and abdominal pain independently predicted need for resection. Bowel resection was more associated with development of post-operative complications and prolonged hospital stay (p < 0.05). Conclusion: Infants presenting with abdominal pain and abdominal distension after two days of onset of symptoms were more likely to require bowel resection. Resection in intussusception significantly increased post-operative complications and length of hospital stay. Keywords: Paediatric intussusception; bowel resection; developing countries.

A Rare Case of Abdominal Pain: EUS Diagnosed Adrenal Myelolipoma

2010 ◽  
Vol 105 ◽  
pp. S382
Author(s):  
Nicholas Anthony ◽  
Andrew Dries ◽  
Martin Scobey
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Adrenal Myelolipoma

Mediastinal Myelolipoma

2002 ◽  
Vol 10 (2) ◽  
pp. 189-190 ◽  
Author(s):  
Bing Gao ◽  
Hiroshi Sugimura ◽  
Shuichiro Sugimura ◽  
Yoshinobu Hattori ◽  
Tadashi Iriyama ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Adipose Tissue ◽  
Bone Marrow Cells ◽  
Rare Tumor ◽  
Pathologic Feature ◽  
Mature Adipose Tissue ◽  
Successful Removal ◽  
Marrow Cells

Myelolipoma is a rare tumor, and a mediastinal location is extremely unusual. The main pathologic feature is the coexistence of mature adipose tissue and bone marrow cells; the presence of megakaryocytes is essential for diagnosis. The successful removal of a mediastinal myelolipoma in a 59-year-old man is described.

scholarly journals Adrenal myelolipoma: Report of three symptomatic cases

2016 ◽  
Vol 6 (1) ◽  
pp. 62
Author(s):  
Sultana Gulshana Banu ◽  
Mohammad Mosiur Rahman
Keyword(s):  
Computed Tomography ◽  
Renal Failure ◽  
Abdominal Pain ◽  
Adrenal Glands ◽  
Ultrasound Scan ◽  
Adrenal Myelolipoma ◽  
Mature Adipose Tissue ◽  
Large Size ◽  
One Year ◽  
Rare Benign Tumour

Myelolipoma is a rare benign tumour composed of mature adipose tissue and nonnal haemopoietic elements. Although it can occur in extra-adrenal sites, it typically occurs in the adrenal glands. Being small and asymptomatic in most cases, myelolipomas are incidentally discovered at autopsies and now-a-days. by imaging. The tumour becomes symptomatic when it attains a large size, when it ruptures, or when it is associated with endocrine abnormalities of the adrenals. We report three cases of adrenal myelolipoma with symptoms like abdominal pain and discomfort, obesity and hypertension. One of the cases also had a co-incidental Ilydatid cyst of liver. Diagnosis of myelolipoma was suspected on imaging (computed tomography and ultrasound scan) and was confirmed by histopathology. The patients were followed up for one year after surge1y. One patient was found well and symptomless. One sustained hypertension but was otherwise healthy. The remaining patient, who had hypertension and renal complications previously, developed fluctuating hypertension and chronic renal failure about six months after operation.

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