Postgrad Med J 2001;77:513
( August )
Images in medicine
Adrenal myelolipoma
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A 26 year old man presented with two days of abdominal pain and
vomiting. Ultrasonography of his abdomen revealed a right adrenal mass
that was confirmed by contrast enhanced (oral and intravenous) computed
tomography (CT), which showed a 20 × 12 × 6 cm well defined soft
tissue mass in right adrenal region (see fig 1). There were two
distinct areas of homogeneous attenuation containing fatty tissue
component (AO, CT value -34 to -54 HU) and soft tissue component (BO,
CT value + 38 to +44 HU) consistent with adrenal myelolipoma. No areas
of haemorrhage or calcification were seen. He was subjected to surgery
and tumour histopathology confirmed adrenal
myelolipoma.
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A BHANSALI, N KOTWAL, B GANPATHI
Department of Endocrinology, PGIMER, Chandigarh 160012, India, Correspondence to: Dr Bhansali, medinst@pgi.chd.nic.in
© 2001 by The Fellowship of Postgraduate Medicine