title: Adrenal cavernous hemangioma: is presurgical diagnosis with imaging test possible.
abstract: OBJECTIVE
  To describe a case of adrenal cavernous hemangioma in a 67 year old man who presented left lumbar pain.
  
  
  METHODS
  Abdominal ultrasound, contrast enhanced ultrasound of the lesion, abdominal-pelvic CT scan, and then left adrenalectomy and pathology were performed
  
  
  RESULTS
  Imaging studies showed a large solid-cystic mass with 12 × 11 cm diameters in the left adrenal gland, well defined, with calcifications, which showed peripheral arterial globular contrast enhancement on CT and ultrasound. The lesion displaced neighboring structures without other findings in the abdominopelvic study. The pathology report after adrenalectomy was: cavernous hemangioma with calcifications, ossifications and necrosis.
  
  
  CONCLUSIONS
  Cavernous hemangioma is a rare cause of adrenal mass. The globular peripheral contrast uptake and gradual filling of the lesion on dynamic imaging studies (Ultrasound or CT) and phlebolith type calcifications suggest the diagnosis of typical angioma. However, the presence of thrombosis, necrosis and calcifications in large lesions confer an unusual dynamic behavior and force pathology for definitive diagnosis.
authors: Urology Department, Hospital Clinico, Malaga, Spain.
authors: Celestino
authors: C
authors: Gómez Rebollo
authors: Lidia Eugenia
authors: LE
authors: Rojo Carmona
authors: Antonio Javier
authors: AJ
authors: Márquez Moreno
authors: Elena
authors: E
authors: Domínguez Gallego
authors: Rafael
authors: R
authors: Aguilar Cuevas
authors: Elisabeth
authors: E
authors: Castillo Gallardo
authors: Jose Francisco
authors: JF
authors: Ruiz Escalante
authors: Maria Mercedes
authors: MM
authors: Acebal Blanco
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000601:surgery; D000315:Adrenalectomy; D003287:Contrast Media; D006392:Hemangioma, Cavernous / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009336:Necrosis; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media