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Adrenal incidentaloma does it require surgical treatment? Case report and review of literature.
[adrenal incidentaloma]
Adrenal
incidentalomas
have
a
prevalence
of
at
least
5
%
in
the
general
population
.
Among
these
adrenal
myelolipoma
are
rare
nonfunctioning
tumors
of
adrenal
with
an
incidence
of
0
.
1
-
0
.
2
%
as
documented
in
CT
and
autopsy
series
.
We
report
such
a
rare
case
of
adrenal
myelolipoma
incidentally
detected
while
evaluating
a
case
of
chronic
nonspecific
flank
pain
.
38
-
year
-old
obese
female
patient
,
known
hypertensive
on
treatment
presented
with
nonspecific
right
flank
pain
since
1
year
.
Ultrasonography
and
Computed
tomography
of
the
abdomen
showed
right
adrenal
gland
mass
with
fat
density
measuring
6
.
3
cm
×
6
.
2
cm
×
5
cm
.
Patient
underwent
right
side
adrenalectomy
,
post
operatively
patient
had
an
uneventful
recovery
.
Histopathological
examination
of
the
specimen
revealed
features
of
adrenal
myelolipoma
.
Myelolipoma
is
an
uncommon
,
benign
;
tumor
like
lesion
composed
of
mature
adipose
tissue
admixed
with
hematopoietic
cells
.
Most
myelolipomas
appear
as
unilateral
adrenal
masses
.
Adrenal
myelolipomas
are
usually
small
and
asymptomatic
.
CT
or
MRI
detects
the
areas
of
gross
fat
with
in
the
lesion
.
These
tumors
can
present
as
acute
abdomen
following
tumor
hemorrhage
which
is
more
likely
in
myelolipomas
greater
than
4
cm
in
size
,
hence
warrants
adrenalectomy
.
adrenal
myelolipoma
are
rare
benign
tumors
,
incidentally
detected
on
CT
.
CT
or
MRI
is
diagnostic
.
Large
myelolipoma
warrants
surgery
due
to
the
risk
of
hemorrhage
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated