Adrenal gland hemangioma: A rare case of the incidentaloma: Case report

Abstract

Bakground: Adrenal glands hemangiomas are rare, benign and non-functional tumors. They are often discovered as incidentalomas either during imaging or autopsies. Nearly 70 cases were reported in the literature.

Case report: We report a case of a non-functional adrenal hemangioma (AH) that was incidentally found on abdominal ultra sonography (US) during the routine control of diabetes of a 58 year-old man. Imaging with US and Computed tomography (CT) showed an heterogeneous and partially calcified 6 cm tumor of the right adrenal gland. The mass was surgically excised and the histological examination concluded to an adrenal haemangioma.

Conclusion: Although rare, AH should be included in the differential diagnosis of the adrenal neoplasmas.

Keywords: Adrenal gland; Heamangioma; Incidentaloma.

Fig. 1

Contrast-enhanced l abdominal CT image (A: axial cut, B: coronal reconstruction) showing an heterogeneous 6 cm right adrenal mass.

Fig. 2

Contrast-enhanced l axial abdominal CT image showing an heterogeneous right adrenal mass containing microcalcification.

Fig. 3

Gross section of adrenal hemangioma showing a well circumscribed, brownish nodule focally calcified with cystic areas.

Fig. 4

Histopathological appearance of the adrenal hemangioma (hematoxylin-eosin staining ×40).

Fig. 5

Histopathological findings of resected specimen with microscopic image showing multiple capillary vascular structures with a regular endothelial border. (hematoxylin-eosin staining ×100).