Korean J Urol.  2006 Jul;47(7):791-793. 10.4111/kju.2006.47.7.791.

Adrenal Myelolipoma Treated with Hand-assisted Transperitoneal Laparoscopic Adrenalectomy

• Mo KI
• Kim DG
• Lee KS
• Kwen SW
• Seo YJ

• KMID: 2294324
• DOI: http://doi.org/10.4111/kju.2006.47.7.791

Abstract

Adrenal myelolipoma is an uncommon, benign, hormonally non-active lesion that is composed of a mix of hemopoietic elements and mature adipose tissue. Most adrenal myelolipomas are incidentally found by ultrasonogram, computed tomography or magnetic resonance imaging. This tumor is commonly asymptomatic, although patients will occasionally present with nonspecific abdominal pain. We report here on a case of myelolipoma that was treated by Hand-assisted transperitoneal laparoscopic adrenalectomy.

Keyword

Myelolipoma; Adrenal glands; Laparoscopy

MeSH Terms

Abdominal Pain
Adipose Tissue
Adrenal Glands
Adrenalectomy*
Humans
Laparoscopy
Magnetic Resonance Imaging
Myelolipoma*
Ultrasonography

Figure

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  Fig. 1 Computed tomography shows a well-encapsulated left suprarenal retroperitoneal tumor with areas of fat density.

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  Fig. 2 The cut surface shows predominantly fatty tissue with patches of hemorrhage and tumor necrosis.

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  Fig. 3 Myelolipoma composed of adipose tissue and bone marrow elements that are partially surrounded by epithelium of adrenal cortex and a fibrous capsule (H&E, ×100).

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