Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report

Introduction: Adrenal myelolipoma is a rare tumor. Traditionally, open surgical adrenalectomy was the standard treatment for symptomatic myelolipoma. However, laparoscopic excision is a promising alternative approach. Observation: A 38-year-old obese male patient presented with right loin pain of ma...

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Main Authors: R.A. Gadelkareem, M.M. Khalil, N. Mohammed, R. Makboul, F.A. Badary
Format: Article
Language:English
Published: SpringerOpen 2018-03-01
Series:African Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S111057041730070X
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author R.A. Gadelkareem
M.M. Khalil
N. Mohammed
R. Makboul
F.A. Badary
author_facet R.A. Gadelkareem
M.M. Khalil
N. Mohammed
R. Makboul
F.A. Badary
author_sort R.A. Gadelkareem
collection DOAJ
description Introduction: Adrenal myelolipoma is a rare tumor. Traditionally, open surgical adrenalectomy was the standard treatment for symptomatic myelolipoma. However, laparoscopic excision is a promising alternative approach. Observation: A 38-year-old obese male patient presented with right loin pain of many months duration. Imaging studies revealed a large well-defined high fat content right adrenal mass displacing the right kidney. Adrenal tumor markers were within normal suggesting a non-functioning lesion. In spite of some technical difficulties and adjustments, laparoscopic excision was done, successfully, with uneventful recovery and short convalescence. Histopathological examination described mature adipose tissue with myeloid cells and confirmed the diagnosis of adrenal myelolipoma. Conclusions: Laparoscopic excision of large adrenal myelolipoma may indicate some technical adjustments, but it seems to be a feasible and advantageous approach even in obese patients. Keywords: Laparoscopic adrenalectomy, Myeloid cells, Myelolipoma
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spelling doaj.art-404f2d575f6e45758899fbbb0bfe48952022-12-22T02:06:27ZengSpringerOpenAfrican Journal of Urology1110-57042018-03-012416366Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case reportR.A. Gadelkareem0M.M. Khalil1N. Mohammed2R. Makboul3F.A. Badary4Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt; Corresponding author at: Elgamaa Street, Assiut University, Assiut, Egypt. Fax: +20 0882080236.Assiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, EgyptAssiut Urology and Nephrology Hospital, Faculty of Medicine, Assiut University, Assiut, Egypt; Martin-Luther University, Halle, GermanyPathology Departement, Faculty of Medicine, Assiut University, Assiut, EgyptPathology Departement, Faculty of Medicine, Assiut University, Assiut, EgyptIntroduction: Adrenal myelolipoma is a rare tumor. Traditionally, open surgical adrenalectomy was the standard treatment for symptomatic myelolipoma. However, laparoscopic excision is a promising alternative approach. Observation: A 38-year-old obese male patient presented with right loin pain of many months duration. Imaging studies revealed a large well-defined high fat content right adrenal mass displacing the right kidney. Adrenal tumor markers were within normal suggesting a non-functioning lesion. In spite of some technical difficulties and adjustments, laparoscopic excision was done, successfully, with uneventful recovery and short convalescence. Histopathological examination described mature adipose tissue with myeloid cells and confirmed the diagnosis of adrenal myelolipoma. Conclusions: Laparoscopic excision of large adrenal myelolipoma may indicate some technical adjustments, but it seems to be a feasible and advantageous approach even in obese patients. Keywords: Laparoscopic adrenalectomy, Myeloid cells, Myelolipomahttp://www.sciencedirect.com/science/article/pii/S111057041730070X
spellingShingle R.A. Gadelkareem
M.M. Khalil
N. Mohammed
R. Makboul
F.A. Badary
Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
African Journal of Urology
title Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
title_full Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
title_fullStr Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
title_full_unstemmed Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
title_short Laparoscopic excision of a large symptomatic and kidney-displacing adrenal myelolipoma: A case report
title_sort laparoscopic excision of a large symptomatic and kidney displacing adrenal myelolipoma a case report
url http://www.sciencedirect.com/science/article/pii/S111057041730070X
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AT nmohammed laparoscopicexcisionofalargesymptomaticandkidneydisplacingadrenalmyelolipomaacasereport
AT rmakboul laparoscopicexcisionofalargesymptomaticandkidneydisplacingadrenalmyelolipomaacasereport
AT fabadary laparoscopicexcisionofalargesymptomaticandkidneydisplacingadrenalmyelolipomaacasereport