[Adrenal myelolipoma. Case report and bibliographic review].
OBJECTIVE
We report one case of adrenal myelolipoma in a female patient presenting with right lumbar pain over six months.


METHODS
Diagnostic work included ultrasound, intravenous urography (IVU) and CT scan.


RESULTS
The patient underwent right adenomectomy with the working diagnosis of adrenal myelolipoma. We describe the pathology report.


CONCLUSIONS
Myelolipoma may present hematopoietic, fat and bone components. It continues being an incidental finding. Ultrasound and CT scan are effective diagnostic tests. Asymptomatic small tumors, smaller than 4 cm, may be monitored with watchful waiting. Symptomatic tumors greater than 4 cm should be extirpated because of the risk of spontaneous rupture with retroperitoneal bleeding. Bilateral adrenalectomy for big tumors implies medical replacement with hydrocortisone.
Ares Valdés
Yolanda
Y
Servicio de Urología, Hospital Universitario Manuel Fajardo, Ciudad Habana, Cuba. ares@infomed.sld.cu
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018209:Myelolipoma / Q000175:diagnosis*