title: Spontaneous rupture of a benign giant adrenal adenoma.
abstract: We report on a 50-year-old patient with a giant benign adenoma of the adrenal cortex, which ruptured spontaneously, leading to life-threatening retroperitoneal hemorrhage. Following emergency adrenalectomy with sparing of the ipsilateral kidney, an adenoma of the adrenal cortex with a diameter of 18 cm and a weight of 1400 g was found. A detailed literature search showed this to be the largest benign tumor of the adrenal cortex described so far. We discuss the diagnosis and treatment of this unusual tumor.
authors.affiliation: Department of Urology, University of Regensburg, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Denzinger
authors.forename: Maximilian
authors.initials: M
authors.lastname: Burger
authors.forename: Arndt
authors.initials: A
authors.lastname: Hartmann
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Hofstaedter
authors.forename: Wolf F
authors.initials: WF
authors.lastname: Wieland
authors.forename: Roman
authors.initials: R
authors.lastname: Ganzer
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D018246:Adrenocortical Adenoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome