Laceration of a benign adrenal adenoma mimicking a splenic rupture.
Lacerations of adrenal tumors are very rare events and have been described for myelolipoma, pheochromocytoma, and cortisol-producing adenoma. We report on a patient who was admitted with suspected splenic rupture. Computed tomography showed a mass 14 cm in diameter adjacent to the spleen, but selective angiography revealed blood supply by the left suprarenal artery. A ruptured adrenal tumor was therefore diagnosed and resected. No hormone production was detected. Histologically a benign adrenal adenoma was found. Frequency, diagnosis and therapy of adrenal masses are discussed.
Department of General Surgery, Karl-Franzens University, Graz, Austria. cerwenka@kfunigraz.ac.at
H
H
Cerwenka
R
R
Karaic
J
J
Pfeifer
G
G
Wolf
D000236:Adenoma / Q000175:diagnosis* / Q000473:pathology; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology; D000328:Adult; D000792:Angiography; D003937:Diagnosis, Differential; D006470:Hemorrhage / Q000175:diagnosis; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D013161:Splenic Rupture / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed