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[Adrenal myelolipoma. Case report and bibliographic review]
1Servicio de Urología, Hospital Universitario Manuel Fajardo, Ciudad Habana, Cuba. ares@infomed.sld.cu
Objectives:
We report one case of adrenal myelolipoma in a female patient presenting with right lumbar pain over six months.
Methods:
Diagnostic work included ultrasound, intravenous urography (IVU) and CT scan.
Results:
The patient underwent right adenomectomy with the working diagnosis of adrenal myelolipoma. We describe the pathology report.
Conclusions:
Myelolipoma may present hematopoietic, fat and bone components. It continues being an incidental finding. Ultrasound and CT scan are effective diagnostic tests. Asymptomatic small tumors, smaller than 4 cm, may be monitored with watchful waiting. Symptomatic tumors greater than 4 cm should be extirpated because of the risk of spontaneous rupture with retroperitoneal bleeding. Bilateral adrenalectomy for big tumors implies medical replacement with hydrocortisone.