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Case Reports
. 2011 Jul-Aug;31(4):421-3.
doi: 10.4103/0256-4947.76411.

Adrenal hemangioma in a 19-year-old female

Khalid S Aljabri  1 , Samia A Bokhari, M Alkeraithi
Affiliations
Case Reports

Adrenal hemangioma in a 19-year-old female

Khalid S Aljabri et al. Ann Saudi Med. 2011 Jul-Aug.

Abstract

Adrenal masses are being detected with increasing frequency due to the widespread use of computed tomography, magnetic resonance imaging and even ultrasonography for the evaluation of diseases with abdominal involvement. It is estimated that adrenal masses are an accidental finding in 1% to 5% of all abdominal CT scans performed. Adrenal hemangiomas are rare and nonfunctioning benign tumors and their differential diagnosis preoperatively is rather challenging. Adrenal hemangiomas are most usually cavernous, unilateral lesions of the adrenal glands; bilateral involvement has been reported twice, which appears between the ages 50 and 70 years, with a 2:1 female-to-male ratio. Approximately 60 surgical cases have been reported in the literature. In general, this tumor is large, and all cases reported were treated with open surgery or retroperitoneoscopic procedure. We report a case of a 19-year-old female patient with adrenal hemangioma that was removed by laparoscopic adrenalectomy.

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Figures

Figure 1
Figure 1
Abdominal ultrasound showed cystic multiseptated lesion in the right adrenal region, measuring 6.5×4.2 cm (white arrow), with evidence of focal calcification.
Figure 2
Figure 2
An intravenous contrast CT scan of the abdomen showed a well-defined lobulated multicystic lesion, with some having internal septation measuring about 4.3×7.3×5.4 cm (white arrow), originating from the right adrenal gland, which shows faint marginal enhancement as well as septal enhancement.
Figure 3
Figure 3
MRI axial T1-weighted FLASH sequence with TR/TE 118/5.2 showed right adrenal well-defined lobulated mass measuring 5.1×4.3× 4.4 cm (white arrow), multiseptated with spoke-wheel appearance.
Figure 4
Figure 4
MRI coronal T2-weighted HASTE sequence with TR/TE 1100/114 showed right adrenal well-defined lobulated mass (white arrow).
See this image and copyright information in PMC

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