Late-occurring giant adrenal myelolipoma in a patient with congenital adrenal hyperplasia.


We report the case of a 64-year-old woman who was referred for the evaluation of abdominal pain and bloating over the previous year. She was 1.43 m tall and weighed 63 kg (body mass index 30.88 kg/m), and her blood pressure was 130/60 mmHg. A physical examination revealed abdominal hirsutism, but no hyperpigmentation. Abdominal ultrasound showed several retroperitoneal tumors, and computed tomography (CT) revealed giant adrenal tumors (Fig. 1). She was scheduled for the excision of both adrenal glands by two-stage open surgery. Histopathological examination was diagnostic for bilateral adrenal myelolipomas: the left one measured 21 cm × 18 cm × 7 cm, and the right one 18 cm × 11 cm × 10 cm. Oral administration of hydrocortisone and fludrocortisone was started after

DOI: 10.1016/j.endonu.2012.09.017

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@article{GarduoGarca2013LateoccurringGA, title={Late-occurring giant adrenal myelolipoma in a patient with congenital adrenal hyperplasia.}, author={Jos{\'e} de Jes{\'u}s Gardu{\~n}o-Garc{\'i}a and Ruy Arjona Villicana and Leonardo Pimentel and Ivan P{\'e}rez D{\'i}az and Francisco Javier G{\'o}mez-P{\'e}rez}, journal={Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición}, year={2013}, volume={60 9}, pages={e33-4} }