Adrenal myelolipoma case presentation, approach, and management
Authors: Mohsen Ali Ezzy, Stefan Schopf, Thomas Kraus, Peter Heinz
Background: Adrenal myelolipomas are a type of benign tumors of hematopoietic nature that is non-functional and considered as a mature adipose tissue. Case Presentation: In this study, two cases of symptomatic myelolipoma were presented. One suffered from nausea and vomiting combined with pain and feeling of postprandial pressure causing weight loss with a minimum body mass index below 18 kg/m2. While, symptoms of postprandial pressure with pain in the right upper abdomen was present in another case. Both patients were selected for surgery. An open conventional surgery via abdominal access for the giant myelolipoma with a maximum diameter of 14 cm and minimal-invasive surgery for the 8 cm myelolipoma in a cachectic patient with 45 kg body weight was indicated. Patients recovered from their symptoms quickly. Conclusion: Surgery was indicated for symptomatic myelolipomas. The resection could be performed minimal-invasive up to 10 cm in specialized centers and via open surgery in every other case.
Keywords: Adrenal myelolipomas, adrenal incidentalomas, giant myelolipomas, conventional surgery, minimal-invasive surgery, case report
Authors
Correspondence to:
Mohsen Ali Ezzy, Krankenhaus Nordwest, Frankfurt, Germany dr.ezzy@hotmail.com
Publication history:
Received 28 Dec 2019
Revised 11 Feb 2020
Accepted 29 Feb 2020
Published online 07 Mar 2020
Published in print 12 Mar 2020
Ezzy MA, Schopf S, Kraus T, Heinz P. Adrenal myelolipoma case presentation, approach, and management. EJMCR. 2020; 4(2): 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy MA, Schopf S, Kraus T, Heinz P. Adrenal myelolipoma case presentation, approach, and management. https://www.ejmcr.com/?mno=79665 [Access: March 29, 2024]. doi:
10.24911/ejmcr/173-1577510395
Ezzy MA, Schopf S, Kraus T, Heinz P. Adrenal myelolipoma case presentation, approach, and management. EJMCR. 2020; 4(2): 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy MA, Schopf S, Kraus T, Heinz P. Adrenal myelolipoma case presentation, approach, and management. EJMCR. (2020), [cited March 29, 2024]; 4(2): 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy, M. A., Schopf, . S., Kraus, . T. & Heinz, . P. (2020) Adrenal myelolipoma case presentation, approach, and management. EJMCR, 4 (2), 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy, Mohsen Ali, Stefan Schopf, Thomas Kraus, and Peter Heinz. 2020. Adrenal myelolipoma case presentation, approach, and management. European Journal of Medical Case Reports, 4 (2), 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy, Mohsen Ali, Stefan Schopf, Thomas Kraus, and Peter Heinz. "Adrenal myelolipoma case presentation, approach, and management." European Journal of Medical Case Reports 4 (2020), 79-83. doi:
10.24911/ejmcr/173-1577510395
Ezzy, Mohsen Ali, Stefan Schopf, Thomas Kraus, and Peter Heinz. "Adrenal myelolipoma case presentation, approach, and management." European Journal of Medical Case Reports 4.2 (2020), 79-83. Print. doi:
10.24911/ejmcr/173-1577510395
Ezzy, M. A., Schopf, . S., Kraus, . T. & Heinz, . P. (2020) Adrenal myelolipoma case presentation, approach, and management. European Journal of Medical Case Reports, 4 (2), 79-83. doi:
10.24911/ejmcr/173-1577510395