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Updated: Jun 16, 2026
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Chronic adrenal infarction presenting as an incidentaloma: Three-year radiological follow-up
Gabriela Vieira Bon1, Alessandro Severo Alves de Melo2, Ana Beatriz Winter Tavares3
1Faculdade de Medicina, Universidade Federal Fluminense, Niterói, Rio de Janeiro 24033-900, Brasil.
Abstract:
This is a descriptive observational study conducted at a University Hospital. We report the case of a 34-year-old woman with a right adrenal mass detected incidentally on computed tomography, presenting atypical radiological characteristics that raised suspicion of malignancy. Hormonal investigation ruled out hypersecretion, and the patient underwent adrenalectomy. Histopathological examination revealed chronic adrenal infarction. Retrospective review of medical records identified a previous episode of severe COVID-19 during pregnancy, and re-evaluation of the computed tomography scan performed at that time allowed us to document the evolution of the adrenal infarction from the acute phase to the formation of a chronic mass over 3 years. The case illustrates an unusual presentation of adrenal infarction as an incidentaloma and highlights the importance of clinical-radiological correlation in the differential diagnosis of adrenal masses. Data collection was performed through review of medical records.
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