Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature
Abstract Background Adrenal myelolipoma is an uncommon, benign, and hormonally non-functioning tumor that is composed of mature adipose tissue and normal hematopoietic tissue. Most cases to date are asymptomatic or have epigastric pain. Acute hemorrhage is the most dramatic manifestation of adrenal...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-017-0270-6 |
| _version_ | 1818385837527662592 |
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| author | Hui-Pu Liu Wen-Yen Chang Shan-Tao Chien Chin-Wen Hsu Yu-Chiuan Wu Wen-Ching Kung Chun-Min Su Ping-Hung Liu |
| author_facet | Hui-Pu Liu Wen-Yen Chang Shan-Tao Chien Chin-Wen Hsu Yu-Chiuan Wu Wen-Ching Kung Chun-Min Su Ping-Hung Liu |
| author_sort | Hui-Pu Liu |
| collection | DOAJ |
| description | Abstract Background Adrenal myelolipoma is an uncommon, benign, and hormonally non-functioning tumor that is composed of mature adipose tissue and normal hematopoietic tissue. Most cases to date are asymptomatic or have epigastric pain. Acute hemorrhage is the most dramatic manifestation of adrenal myelolipoma; though, it is a rare entity. Hemorrhagic shock due to adrenal myelolipoma, to our knowledge, was much less mentioned so far. Persistent bleeding and uncontrollable hypotension are considered to be absolute indications for immediate surgical operation. Case presentation Herein we presented a 32-year-old male patient with initial symptoms of nausea, vomiting, and epigastric pain progressing to altered consciousness and hypotension during ER course. Hemorrhagic shock due to a giant adrenal myelolipoma, R’t was diagnosed. Emergent exploratory laparotomy was executed, and en bloc excision of tumor was done. Conclusion Adrenal myelolipoma might be diagnosed as a adjunction to other main causes of illness; furthermore, adrenal myelolipoma could be asymptomatic in lifetime. In our case, however, manifesting as hemorrhage shock was challenging to diagnose step by step; instead, maintaining vital organs perfusion and identifying bleeding sources were to be done. Management of myelolipoma should be done on a case-to-case basis. |
| first_indexed | 2024-12-14T03:44:30Z |
| format | Article |
| id | doaj.art-a8703f629e594b14b112b32a60b8632f |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-14T03:44:30Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-a8703f629e594b14b112b32a60b8632f2022-12-21T23:18:24ZengBMCBMC Surgery1471-24822017-06-011711410.1186/s12893-017-0270-6Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literatureHui-Pu LiuWen-Yen Chang0Shan-Tao Chien1Chin-Wen Hsu2Yu-Chiuan Wu3Wen-Ching Kung4Chun-Min Su5Ping-Hung Liu6Department of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalDepartment of General Surgery, Kaohsiung Armed Forces General HospitalAbstract Background Adrenal myelolipoma is an uncommon, benign, and hormonally non-functioning tumor that is composed of mature adipose tissue and normal hematopoietic tissue. Most cases to date are asymptomatic or have epigastric pain. Acute hemorrhage is the most dramatic manifestation of adrenal myelolipoma; though, it is a rare entity. Hemorrhagic shock due to adrenal myelolipoma, to our knowledge, was much less mentioned so far. Persistent bleeding and uncontrollable hypotension are considered to be absolute indications for immediate surgical operation. Case presentation Herein we presented a 32-year-old male patient with initial symptoms of nausea, vomiting, and epigastric pain progressing to altered consciousness and hypotension during ER course. Hemorrhagic shock due to a giant adrenal myelolipoma, R’t was diagnosed. Emergent exploratory laparotomy was executed, and en bloc excision of tumor was done. Conclusion Adrenal myelolipoma might be diagnosed as a adjunction to other main causes of illness; furthermore, adrenal myelolipoma could be asymptomatic in lifetime. In our case, however, manifesting as hemorrhage shock was challenging to diagnose step by step; instead, maintaining vital organs perfusion and identifying bleeding sources were to be done. Management of myelolipoma should be done on a case-to-case basis.http://link.springer.com/article/10.1186/s12893-017-0270-6Adrenal myelolipomaHemorrhagic shockFat-content massRetroperitoneum |
| spellingShingle | Hui-Pu Liu Wen-Yen Chang Shan-Tao Chien Chin-Wen Hsu Yu-Chiuan Wu Wen-Ching Kung Chun-Min Su Ping-Hung Liu Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature BMC Surgery Adrenal myelolipoma Hemorrhagic shock Fat-content mass Retroperitoneum |
| title | Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature |
| title_full | Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature |
| title_fullStr | Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature |
| title_full_unstemmed | Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature |
| title_short | Intra-abdominal bleeding with hemorrhagic shock: a case of adrenal myelolipoma and review of literature |
| title_sort | intra abdominal bleeding with hemorrhagic shock a case of adrenal myelolipoma and review of literature |
| topic | Adrenal myelolipoma Hemorrhagic shock Fat-content mass Retroperitoneum |
| url | http://link.springer.com/article/10.1186/s12893-017-0270-6 |
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