Korean J Urol.  2008 Mar;49(3):277-279. 10.4111/kju.2008.49.3.277.

Adrenal Cavernous Hemangioma

• Kim TH
• Kwak JJ
• Rha SH
• Yoon JH
• Cho WY

• KMID: 1204633
• DOI: http://doi.org/10.4111/kju.2008.49.3.277

Abstract

Cavernous hemangiomas are rarely found in the adrenal gland. Most of the tumors are nonfunctioning, and the patients present with no clinical symptoms. Although rare, the presence of adrenal hemangiomas should be kept in mind in the differential diagnoses of adrenal tumors. We report a case of an adrenal cavernous hemangioma that was removed by laparoscopic adrenalectomy in a 71-year-old female patient. The chief complaint was right flank pain. The patient was pathologically diagnosed as a having a cavernous hemangioma of the adrenal glands.

Keyword

Hemangioma; Cavernous; Laparoscopy; Adrenalectomy

MeSH Terms

Female
Humans
Diagnosis, Differential
Hemangioma

Figure

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  Fig. 1. Computerized tomography (CT) shows an approximate 2.7cm sized ovoid mass with central calcification in the right adrenal gland. On contrast material enhancement, there is no definite enhancement in the right adrenal mass.

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  Fig. 2. The adrenal gland shows a poorly defined, multilocular cystic mass filled with hemorrhagic material (right lower portion).

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  Fig. 3. The mass is composed of large, dilated, blood-filled vessels with central calcification (A, x20). Vessels are lined by flattened, cytologically bland endothelium (B, x100).

Reference

1. Shamsi K, Deckers F, De Schepper A. Is it a hemangioma? Rofo. 1993; 159:22–7.

2. Fernandes ET, Manivel JC, Reinberg Y. Hematuria in a newborn infant caused by bladder hemangioma. Urology. 1996; 47:412–5.

3. Johnson CC, Jeppesen FB. Hemangioma of the adrenal. J Urol. 1955; 74:573–5.

4. Jahn H, Nissen HM. Haemangioma of the urinary tract: review of the literature. Br J Urol. 1991; 68:113–7.

5. Kennedy WA II, Hensle TW, Giella J, Hendricks JG, Treat M. Potassium thiophosphate laser treatment of genitourinary hemangioma in the pediatric population. J Urol. 1993; 150:950–2.

6. Moon DS, Kim HS, Ryu SB, Min BK. A case of cavernous hemangioma of scrotum in a child. Korean J Urol. 1989; 30:447–8.

7. Peterson NE, Thompson HT. Renal hemangioma. J Urol. 1971; 105:27–31.

8. Derchi LE, Rapaccini GI, Banderali A, Kanza FM, Grillo F. Ultrasound and CT findings in two cases of hemangioma of the adrenal gland. J Comput Assist Tomogr. 1989; 13:659–61.

9. Lee JO, Jeon SH, Kim YH, Kim IG, Seong IG, Han BH. A case of adrenal cavernous hemangioma. Korean J Urol. 2000; 41:803–6.

10. Nakagawa N, Takahashi M, Maeda K, Fujimura N, Yufu M. Case report: adrenal haemangioma coexisting with malignant haemangioendothelioma. Clin Radiol. 1986; 37:97–9.