title: Adrenal extramedullary hematopoiesis associated with beta-thalassemia trait in an adult woman: a case report and review of literature.
abstract: BACKGROUND
  Adrenal myelolipoma with extramedullary hematopoiesis (EMH) is a rare condition.
  
  
  METHODS
  We report a case of 48-year-old woman suffering from recurrent right hypochondrial pain for two years. Laboratory work-up revealed chronic microcytic iron deficiency anemia with beta thalassemia trait, right adrenal myelolipoma with histopathological evidence of hematopoietic cells (EMH). The patient underwent open resection of the adrenal gland and the post-operative course was uneventful.
  
  
  CONCLUSIONS
  EMH could be presented with several clinical hematological disorders. Surgical management becomes inevitable in certain adrenal EMH cases especially in the presence of a large adrenal mass.
authors.affiliation: Department of Surgery, Hamad General Hospital, Doha, Qatar.
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Thani
authors.affiliation: Department of Surgery, Hamad General Hospital, Doha, Qatar.
authors.forename: Maryam
authors.initials: M
authors.lastname: Al-Sulaiti
authors.affiliation: Department of Surgery, Hamad General Hospital, Doha, Qatar.
authors.forename: Gamela
authors.initials: G
authors.lastname: El-Mabrok
authors.affiliation: Department of Surgery, Hamad General Hospital, Doha, Qatar.
authors.forename: AbdelHakim
authors.initials: A
authors.lastname: Tabeb
authors.affiliation: Clinical Research, Trauma Surgery, Hamad General Hospital, Doha, Qatar; Internal Medicine, Weill Cornell Medical College, Doha, Qatar. Electronic address: aymanco65@yahoo.com.
authors.forename: Ayman
authors.initials: A
authors.lastname: El-Menyar
keywords: Adrenal; Case report; Extra medullary hematopoiesis; Incidentiloma; Thalassemia