[Splenic peliosis associated with adrenal adenoma].
OBJECTIVE
Peliosis of the spleen is very rare disease diagnosed mainly histologically. The ethiopathogenesis is still unknown and various factors can play the important role (steroids, chemotherapy, chronic infection, hematology disease etc.). Authors present the case of peliosis of the spleen which was combined with suprarenal adenoma.


METHODS
The splenectomy for the large spleen with suspicion from lymphoma was done in hypertonic patient with normocytic normochromic anaemia. During operation the left suprarenal adenoma was revealed and epinephrectomy was performed. The diagnosis of peliosis of spleen was done by histological examination. The hypothesis of the connection between hormonal activity of the suprarenal adenoma and development of the peliosis was expressed. Unfortunately the suprarenal adenoma was not diagnosed before operation and so plasma hormone levels were not evaluated.


RESULTS
The postoperative course of patient was without complications and patient was discharged 8th postoperative day. One year after operation the patient is in the good health condition. The hypertension is corrigated on the lower dosage of antihypertensive medicaments.


CONCLUSIONS
It is probable, that the suprarenal adenoma could play the important role in the ethiopathogenesis of peliosis of the spleen in our case.
Treska
V
V
Chirurgická klinika FN v Plzni.
Hes
O
O
Chudácek
Z
Z
Wirthová
M
M
D000236:Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000368:Aged; D005260:Female; D006801:Humans; D033162:Incidental Findings; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery