Abstract
This report describes the case of a 48-year-old woman found to have a leiomyoma of the left adrenal gland after presenting with anemia and hypertension. An upper gastrointestinal series revealed a mass in the posterior region of the body that distorted the stomach. A computed tomography (CT) scan showed a well-circumscribed mass with a high-density outline in the left adrenal gland, and magnetic resonance imaging (MRI) revealed a homogeneous mass. Multiple catheter samplings of vena cava blood revealed a slight elevation of epinephrine and norepinephrine in the left adrenal vein and the left renal vein. Thus, asymptomatic pheochromocytoma of the left adrenal gland was highly suspected as a preoperative diagnosis and a left adrenalectomy was performed. However, histologic examination subsequently revealed findings suggestive of leiomyoma of the adrenal gland, which was confirmed by electron microscopy. The patient's postoperative course was uneventful and she has remained free from any further symptoms.
Similar content being viewed by others
References
Morgan BK, Compton C, Talbert M, Gallagher WJ, Wood WC (1990) Benign smooth muscle tumors of the gastrointestinal tract. Ann Surg 221:63–66
Mouchet F, Ninane J, Gosseye S, Verellen C, Bonnier C, Evrard P, Vermylen C, Scheiff JM, Cornu G (1991) Leiomyoma of the suprarenal gland in a child with ataxia-telangiectasia. Pediatr Hematol Oncol 8:235–241
Goldman LR, Brodey AP (1993) Synptomatic leiomyoma of the adrenal. Int Urol Nephrol 25(4):311–314
Welch TJ, Sheedy PF, Heerden JA, Sheps SG, Hattery RR, Stephens DH (1983) Pheochromocytoma: value of computed tomography. Radiology 148:501–503
Hussain S, Belldegrun A, Seltzer SE, Riche JP, Gittes RF, Abrams HL (1985) Differentiation of malignant from benign adrenal masses: Predictive indices on computed tomography. AJR 144:61–65
Korobkin M, White ER, Kressel HY, Moss AA, Montagne JP (1979) Computed tomography in the diagnosis of adrenal disease. AJR 132:231–238
Karstaedt N, Sagel SS, Stanley RJ, Melson GL, Levitt RG (1978) Computed tomography of the adrenal gland. Radiology 129:723–730
Mitty HA, Cohen BA, Sprayregen S, Schwartz K (1983) Adrenal pseudotumors on CT due to dilated portosystemic veins. AJR 141:727–730
Choi SH, Liu K (1981) Leiomyosarcoma of the adrenal gland and its angiographic features: A case report. J Surg Oncol 16:145–148
Page DL, Delellis RA, Hough AJ (1986) Tumor of the adrenal. Atlas of tumor pathology. The Armed Forces Institute of Pathology, pp 162–172
Olsson CA, Krane RJ, Klugo RC, Selikowitz SM (1973) Adrenal myelolipoma. Surgery 73:665–670
Pasieka JI, McLeod MK, Tompson NW, Gross MD, Schteingart DE (1992) Adrenal scintigraphy of well-differentiated (functioning) adrenocortical carcinomas: Potential surgical pitfalls. Surgery 112:884–890
Dunnick MR, Doppman JL, Gill JR, Strott CA, Keiser HR, Brennan MF (1982) Localization of functional adrenal tumors by computed tomography and venous sampling. Radiology 142:429–433
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nishida, S., Tanimura, A., Takasaki, S. et al. Surgically resected adrenal leiomyoma: Report of a case. Surg Today 25, 455–457 (1995). https://doi.org/10.1007/BF00311827
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311827