Unique case of metachronous adrenal and hepatic myelolipomas

Paul David Morris; Chow P'Ng; Henry Pleass

doi:10.1136/bcr-2020-240894

Unique case of metachronous adrenal and hepatic myelolipomas

BMJ Case Rep. 2021 Mar 4;14(3):e240894. doi: 10.1136/bcr-2020-240894.

Authors

Paul David Morris^{1

2}, Chow P'Ng³, Henry Pleass^{4

5}

Affiliations

¹ Department of Surgery, Westmead Hospital, Westmead, New South Wales, Australia paul.morris2@health.nsw.gov.au.
² The University of Sydney, Camperdown, New South Wales, Australia.
³ Department of Anatomical Pathology, Westmead Hospital, Westmead, New South Wales, Australia.
⁴ Department of Surgery, Westmead Hospital, Westmead, New South Wales, Australia.
⁵ Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia.

Abstract

We present a unique case of metachronous adrenal and hepatic myelolipomas in a 62-year-old man. Myelolipomas are most commonly found in the adrenal gland, with extra-adrenal sites such as the lung, retroperitoneum and liver reported. They are a form of benign mesenchymal tumour, with only 25 case reports of a hepatic location published to date. The are no guidelines to its management. Our patient underwent resection due to pain, and after a complicated postoperative period is pain free.

Keywords: adrenal disorders; gastrointestinal surgery; general surgery.

Publication types

Case Reports

MeSH terms

Adrenal Gland Neoplasms* / diagnostic imaging
Adrenal Gland Neoplasms* / surgery
Adrenal Glands / diagnostic imaging
Adrenal Glands / surgery
Humans
Liver
Male
Middle Aged
Myelolipoma* / diagnostic imaging
Myelolipoma* / surgery