Korean J Med.  2015 Sep;89(3):340-345. 10.3904/kjm.2015.89.3.340.

A Case of Bilateral Adrenal Myelolipomas with Congenital Adrenal Hyperplasia

Affiliations
  • 1Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. jed15@cu.ac.kr

Abstract

Adrenal myelolipoma (AML) is a rare, usually benign, and nonfunctioning tumor. About 7-15% of adrenal incidentalomas are AMLs, composed of normal hematopoietic elements and mature adipose tissue. AML is usually unilateral and < 4 cm. It is often discovered incidentally on abdominal computed tomography or magnetic resonance imaging. It is related to a chronic increase in adrenocorticotropic hormone, such as that observed in patients with congenital adrenal hyperplasia, Cushing disease, Conn's syndrome, and pheochromocytoma. Here, we report a 28-year-old man diagnosed with non-salt-losing congenital adrenal hyperplasia with huge bilateral AMLs and a literature review.

Keyword

Adrenal, Myelolipoma; Adrenal hyperplasia, Congenital

MeSH Terms

Adipose Tissue
Adrenal Hyperplasia, Congenital*
Adrenocorticotropic Hormone
Adult
Humans
Hyperaldosteronism
Magnetic Resonance Imaging
Myelolipoma*
Pheochromocytoma
Pituitary ACTH Hypersecretion
Adrenocorticotropic Hormone
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