Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A giant adrenal lipoma presenting in a woman with chronic mild postprandial abdominal pain: a case report. | Kapetanakis et al. Journal of Medical Case Reports 2011 5 136 http content 5 1 136 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access A giant adrenal lipoma presenting in a woman with chronic mild postprandial abdominal pain a case report 1 1 3 2 Stylianos Kapetanakis 1 loannis Drygiannakis Anastasios Tzortzinis Nikolaos Papanas and Aliki Fiska Abstract Introduction Adrenal lipomas are rare small benign non-functioning tumors which must be histopathologically differentiated from other tumors such as myelolipomas or liposarcomas. They are usually identified incidentally during autopsy imaging or laparotomy. Occasionally they may present acutely due to complications such as abdominal pain from retroperitoneal bleeding or systemic symptoms of infection. We report a giant adrenal lipoma to the best of our knowledge the second largest in the literature clinically presenting with chronic mild postprandial pain. Case presentation A 54-year-old Caucasian woman presented several times over a period of 10 years to various emergency departments complaining of long-term mild postprandial abdominal pain. Although clinical examinations were unrevealing an abdominal computed tomography scan performed at her most recent presentation led to the identification of a large lipoma of the left adrenal gland which occupied most of the retroperitoneal space. Myelolipoma was ruled out due to the absence of megakaryocytes immature leukocytes or erythrocytes. Liposarcoma was ruled out due to the absence of lipoblasts. The size of the lipoma 16 X 14x7 cm is to the best of our knowledge the second largest reported to date. After surgical resection our patient was relieved of her symptoms and remains healthy six years postoperatively. Conclusion Physicians should be aware that differential diagnosis of mild chronic abdominal pain in patients presenting in emergency rooms may include large adrenal lipomas. When initial diagnostic investigation is not .
