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[Adrenal myelolipoma associated with lithiasic cholecystitis, hiatal hernia and esophagitis]
J O Solís Daun1, R Rodríguez García, A Torres Trejo
1Académico titular de Anatomía Patológica, Universidad Veracruzana, Hospital Regional de Zona Sur, Minatitlán, Veracruz.
Unlabelled:
The adrenal myelolipoma are rare tumors that are generally asymptomatic, unilateral and nonfunctional and in the majority of the cases they are found incidentally.
Objective:
Is to present a clinical case of adrenal myelolipoma, associated with gallstones.
Case Report:
A 30 year old obese female with chronic abdominal pain, which underwent a GI series, having found a hiatal hernia and esophagitis. An ultrasound, of the gallbladder and bile ducts showed gallstones and incidentally a tumor of 9.3 x 8 x 7 cm was found between the right kidney and the liver. In the CT of the abdomen of observed, a little vascularized tumor of the adipose composition of 9.2 x 6 x 5 cm over the top of the right kidney. A cholecystectomy was performed and the resection of the tumor, histopathological study of the tumor reported normal adrenal tissues, mature adiposis and hematopoietic with all of its series.
Conclusions:
The association of adrenal myelolipoma and gallstones is not common and it could be an incidental association. With the new tools available we can diagnose the adrenal myelolipoma with a greater degree of certainty.