Abstract
BackgroundAdrenal hemangioma is a rare benign adrenal tumor that is usually misdiagnosed preoperatively. We here present a case of adrenal cavernous hemangioma that was successfully treated with retroperitoneal laparoscopic adrenalectomy.Case presentationA 67-year-old man with dull right back pain attended our clinic for examination of a mass on the right adrenal gland for 1 week. Pheochromocytoma was considered according to the preoperative computed tomography angiography + computed tomography urography findings and was subsequently corrected to adrenal gland hemangioma according to postoperative pathological findings. The patient showed no recurrence of adrenal hemangioma during the 1-year follow-up period after surgery.ConclusionAdrenal gland hemangioma is rare with a high rate of misdiagnosis, and it should be considered in imaging findings of adrenal tumors with typical hemangioma. Surgery is an effective treatment method.
Highlights
Adrenal hemangioma is a rare benign adrenal tumor that is usually misdiagnosed preoperatively
Adrenal gland hemangioma is rare with a high rate of misdiagnosis, and it should be considered in imaging findings of adrenal tumors with typical hemangioma
We present the case of an adrenal cavernous hemangioma (63 mm × 95 mm) preoperatively misdiagnosed as pheochromocytoma that was successfully treated by laparoscopic adrenalectomy
Summary
Since the first case report of an adrenal hemangioma published by Johnson [1] in 1955, there have only been 66 cases reported in the literature to date [2]. Catecholamine levels in the blood of pheochromocytoma patients can trigger severe cardiovascular complications such as TTS, heart failure, cerebral haemorrhage and sudden cardiac arrest [8] and secondary shock [9]; perioperative monitoring is critical. In this case, the surgeon strictly followed the principle of “minimal touch” during the operation, and intraoperative anaesthetic monitoring showed that the tumour remained stable during intraoperative contact and tumour haemodynamics. Metastasis or other complications were observed after 1 year of follow-up
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