%0 Journal Article
%T Giant lipoma of the adrenal gland: a case report
%A Rashmi D Patel
%A Aruna V Vanikar
%A Pranjal R Modi
%J Journal of Medical Case Reports
%D 2011
%I BioMed Central
%R 10.1186/1752-1947-5-78
%X We report an incidentally detected giant adrenal lipoma in a 43-year-old Asian man with a six year history of hypertension. He had a myocardial infarction one year earlier, for which he was taking an antiplatelet agent in addition to antihypertensive medication.The tumor was detected by computed tomography and magnetic resonance imaging, and was a large, well-defined, altered signal intensity lesion 12 cm in size in the right suprarenal region. The tumor was resected laparoscopically and sent for histopathologic evaluation. It measured 15 cm ¡Á 11.5 cm ¡Á 6.5 cm on gross examination, weighed 810 g and had a homogenous yellow cut surface. The postoperative course was smooth. Microscopy revealed mature adipose tissue with myxoid degeneration. Over the course of a four month follow-up the patient recovered.Giant lipoma of the adrenal gland, a benign tumor, is rare compared with myelolipoma. Improved radiologic modalities have led to increased reporting of these benign tumors. Laparoscopic removal of the tumor has helped in early recovery and in reinstating patients to normal lives.Lipomatous tumors of the adrenal gland are rare. Improved diagnostic modalities, including high-resolution ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI), have led to increased reporting and management of such tumors. We report one such case of an incidentally detected adrenal lipoma.A 43-year-old Asian man was incidentally detected to have a loose, well-defined, homogenously enhancing soft tissue density lesion in the right adrenal gland. This lesion was found while the patient was undergoing investigations for hypertension of six years' duration being controlled with ¦Á- and ¦Â-blockers and a diuretic. The patient had a history of myocardial infarction nine earlier for which he underwent coronary angioplasty and he was taking an antiplatelet agent.During this admission, he had undergone ultrasonography of the abdomen, which revealed an adrenal mass. No other sign
%U http://www.jmedicalcasereports.com/content/5/1/78