J Korean Assoc Pediatr Surg.  2013 Dec;19(2):140-144. 10.13029/jkaps.2013.19.2.140.

A Case of An Incidentally Diagnosed Adrenal Venous Malformation in A Child

• Boo YJ
• Lee EH
• Lee KC
• Won NH

• KMID: 1961504
• DOI: http://doi.org/10.13029/jkaps.2013.19.2.140

Abstract

Adrenal venous malformation is an uncommon disease. We report a case of an incidentally diagnosed adrenal cystic mass during an evaluation for gastritis in a child. A 14-year-old girl admitted to our pediatric department for epigastric pain. After the gastroscopy, she was diagnosed with hemorrhagic gastritis. A 5.5 cm-sized cystic mass was incidentally found adjacent to her left adrenal gland during an ultrasound examination for evaluating her abdominal symptoms. She underwent laparoscopic surgery for the diagnosis and treatment of this cystic mass, which was confirmed to be venous malformation at pathologic diagnosis.

Keyword

Adrenal gland; Venous malformation; Adolescent; Adrenalectomy

MeSH Terms

Adolescent
Adrenal Glands
Adrenalectomy
Child*
Diagnosis
Female
Gastritis
Gastroscopy
Humans
Laparoscopy
Ultrasonography

Figure

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  Fig. 1 Abdominal computed tomography (CT) scan revealed a cystic mass without any septum originated on the left adrenal gland.

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  Fig. 2 Laparoscopic view of the lesion during the operation shows a well-demarcated cystic mass containing with mild bluish-colored fluid inside.

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  Fig. 3 Immunohistochemical stain with the specimen, the tumor formed a thrombus in the inner cavity and consisted of a dilated venous structure with a positive stain for CD34 (a marker for blood vessels) and a negative stain for D2 40 (a marker for lymphatics. A) CD34, B) D2 40, C) Elastin, D) Masson trichrome stain.

Reference

1. Kim TH, Kwak JJ, Rha SH, Yoon JH, Cho WY. Adrenal carvernous hemangioma. Korean J Urol. 2008; 49:277–279.

2. Kim BI, Yoe WC, Lee GS, Lim HS, Hong JM, You KJ, Kim MJ, Byun DI, Lee JG, Kwon GH, Lee SN. A case of giant cavernous hemangioma of the adrenal gland. Korean J Med. 2000; 59:310–313.

3. Bruder E, Perez-Atayde AR, Jundt G, Alomari AI, Rischewski J, Fishman SJ, Mulliken JB, Kozakewich HP. Vascular lesions of bone in children, adolescents, and young adults. A clinicopathologic reappraisal and application of the ISSVA classification. Virchows Archiv. 2009; 454:161–179.

4. Matsuda D, Iwamura M, Baba S. Cavernous hemangioma of the adrenal gland. Int J Urol. 2009; 16:424.

5. Heis HA, Bani-Hani KE, Bani-Hani BK. Adrenal cavernous haemangioma. Singapore Med J. 2008; 49:e236–e237.

6. Hirai K, Takeuchi S, Bessho R, Ohaki Y, Koizumi K, Shimizu K. Venous hemangioma of the anterior mediastinum. J Nippon Med Sch. 2010; 77:115–118.

7. Kobayashi H, Kaneko G, Uchida A. Retroperitoneal venous hemangioma. Int J Urol. 2010; 17:585–586.