Adrenal extramedullary haematopoiesis: an unusual incidentaloma. Issue 1 (11th January 2021)

• Record Type: Journal Article
• Authors: Agarwal, Surabhi; Dey, Mousam; Yadav, Priyank; Lal, Hira
• Is Part Of: BMJ case reports. Volume 14:Issue 1(2021)
• Publication Date: 2021-01-11
• Subjects: endocrine system -- haematology (drugs and medicines) -- adrenal disorders -- haematology (incl blood transfusion); Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-238572
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We report a case of adrenal extramedullary haematopoiesis in a 24-year-old women who presented with pallor and weakness. Ultrasonography of the abdomen detected moderate hepatosplenomegaly with multiple lesions in the spleen and an incidental right adrenal mass. There was no ascites or lymphadenopathy. CT scan revealed a heterogeneous right adrenal mass with multiple non-enhancing lesions in the spleen. Ultrasound guided trucut biopsy was performed after excluding a functioning tumour, which confirmed the diagnosis. Later, she was diagnosed to have haemoglobin E/beta thalassaemia and was put on hydroxyurea trial.