Case Report
Volume: 4 | Issue: 2 | Published: Mar 07, 2020 | Pages: 79 - 83 | DOI: 10.24911/ejmcr/173-1577510395
Adrenal myelolipoma case presentation, approach, and management
Authors: Mohsen Ali Ezzy , Stefan Schopf , Thomas Kraus , Peter Heinz
Article Info
Authors
Mohsen Ali Ezzy
Krankenhaus Nordwest, Frankfurt, Germany
Stefan Schopf
Krankenhaus Agatharied/Bad Aibling krankenhaus, Frankfurt Germany
Thomas Kraus
Krankenhaus Nordwest, Frankfurt, Germany
Peter Heinz
Krankenhaus Nordwest, Frankfurt, Germany
Publication History
Received: December 28, 2019
Revised: February 11, 2020
Accepted: February 29, 2020
Published: March 07, 2020
Abstract
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, green
