Adrenal gland hemangioma: A rare case of the incidentaloma: Case report. (2017)

• Record Type: Journal Article
• Authors: Zemni, I.; Haddad, S.; Hlali, A.; Manai, M.H.; Essoussi, M.
• Is Part Of: International journal of surgery case reports. Volume 41(2017)
• Page Start: 417
• Page End: 422
• Publication Date: 2017
• Subjects: Adrenal gland -- Heamangioma -- Incidentaloma; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.11.021
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Adrenal gland hemangioma is an extremely rare benign vascular tumor. It is frequently discovered as incidental radiological findings in abdominal imaging performed for various reasons. The preoperative diagnosis is very difficult, generally CT and MR imaging are useful for the diagnosis of hemangioma. In front of an adrenal mass discovered incidentally there are several factors to consider: the tumor size, its secreting character or not, imaging data suggestive of malignancy and complications. These factors help in determining which incidental adrenal masses should be excised. Abstract: Bakground: Adrenal glands hemangiomas are rare, benign and non-functional tumors. They are often discovered as incidentalomas either during imaging or autopsies. Nearly 70 cases were reported in the literature. Case report: We report a case of a non-functional adrenal hemangioma (AH) that was incidentally found on abdominal ultra sonography (US) during the routine control of diabetes of a 58 year-old man. Imaging with US and Computed tomography (CT) showed an heterogeneous and partially calcified 6 cm tumor of the right adrenal gland. The mass was surgically excised and the histological examination concluded to an adrenal haemangioma. Conclusion: Although rare, AH should be included in the differential diagnosis of the adrenal neoplasmas.