INTRODUCTION:

Adrenal lipomatous tumors are rare hormonally silent lesions with an incidence of 4-5%. Myelolipoma is the most common fatty tumor of the adrenal gland. Adrenal myelolipoma etiology is still unknown. Myelolipomas are composed of an unusual mixture of mature a dipose tissue and relatively normal trilineage hematopoietic elements. The aim of our report was to describe a case of adrenal myelolipoma and its medical approach.

CLINICAL CASE:

A 64-year-old woman presented with right lumbar pain of 6-month progression, accompanied with early satiety and an 8-kg weight loss. A multi-detector computed tomography urography scan showed the presence of a single right adrenal lesión with no involvement of the ipsilateral upper kidney pole and no enhancement with the application of contrast medium. Right transperitoneal laparoscopic adrenalectomy was performed, revealing adrenal myelolipoma.

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