Spontaneous rupture of a benign giant adrenal adenoma.
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.
Denzinger
Stefan
S
Department of Urology, University of Regensburg, Germany.
Burger
Maximilian
M
Hartmann
Arndt
A
Hofstaedter
Ferdinand
F
Wieland
Wolf F
WF
Ganzer
Roman
R
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