Adrenal myelolipoma presenting with spontaneous retroperitoneal haemorrhage demonstrated on computed tomography and angiogram--a case report
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1Department of Radiology, Changi General Hospital, 2 Simei Street 3, Singapore 529889.
Introduction:
A rare case of adrenal myelolipoma presenting with spontaneous rupture and retroperitoneal haemorrhage is described.
Clinical Picture:
A 51-year-old Caucasian male presented with acute onset of right loin pain. Preliminary diagnosis of haemorrhagic adrenal tumour was made on computed tomography (CT) and angiography.
Treatment:
Vascular embolisation was performed to stabilise the patient prior to definitive surgery. Tumour resection was subsequently performed. Histology confirmed ruptured adrenal myelolipoma.
Outcome:
The patient made an uneventful recovery.
Conclusion:
Ruptured adrenal myelolipoma should be considered in cases of spontaneous retroperitoneal haemorrhage. Vascular embolisation may be useful in stabilising the patient prior to definitive surgery.