Laparoscopic adrenalectomy of an adrenal adenoma with myelolipoma relieves severe hypertension in a 16-year-old patient

Rana F. Ammoury, Rubina A. Heptulla, Nina Tatevian, Ewa Elenberg

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Adrenal adenoma with myelolipoma is extremely rare in pediatrics. Although the tumor is usually asymptomatic, sometimes it may result in serious manifestations. A 16-year-old patient was diagnosed with severe hypertension associated with a right adrenal mass. The laboratory work-up was inconclusive of the nature of the tumor. Plasma and urinary hormonal studies were not diagnostic. Magnetic resonance imaging (MRI) of the brain and meta-iodobenzylguanidine (MIBG) scanning were normal. MRI of the abdomen showed a heterogeneous adrenal mass 4.2×3.3 cm. Laparoscopic resection of the mass was done, and the pathology revealed an adrenal adenoma with myelolipoma. After tumor resection the hypertension resolved, and within 1 month the patient was off medications. At 2-year follow-up the patient's blood pressure remained normal at 120/73 mmHg. This is a case in which an adrenal adenoma with myelolipoma, a benign and usually asymptomatic tumor, presented as severe hypertension resolving with surgical resection of the tumor.

Original languageEnglish (US)
Pages (from-to)433-436
Number of pages4
JournalPediatric Nephrology
Volume21
Issue number3
DOIs
StatePublished - Mar 1 2006

Keywords

  • Adolescent male
  • Adrenal adenoma
  • Hypertension
  • Myelolipoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

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