ADRENAL HEMANGIOMA: A CASE REPORT

A 62-year-old man was hospitalized for evaluation of a mass above the right kidney discovered incidentally during ultrasonography for long-lasting microscopic hematuria. He was asymptomatic except for gait disturbance and dysarthria. Past history was unremarkable except for spino-cerebellar degeneration. Physical examination revealed no palpable abdominal masses. Laboratory data were all within normal range except for slight leucocytosis. The hormonal and various radiological examinations disclosed the mass to be a non-functioning adrenal tumor. The tumor was removed operatively and the pathological examination, including immunohistochemical study against laminin, revealed adrenal cavernous hemangioma. Adrenal hemangiomas are rare and seldom found ante mortem. This is the 36th reported case in world literature. The pertinent literature is reviewed.