Spontaneous retroperitoneal hemorrhage is a possible complication of all large adrenal tumors. A review of the literature revealed 70 surgically documented cases of adrenal myelolipoma and 36 of these patients had clinical symptoms of abdominal pain or a palpable tumor. Associated medical problems in 53 of the 68 patients with surgically proved myelolipomas were obesity in 17, hypertension in 18 and a variety of chronic diseases in 18. Management of adrenal myelolipomas should be individualized. Small asymptomatic myelolipomas diagnosed definitively on imaging studies are best followed expectantly.
Les formations myelolipomaleuses.
Myelolipoma in the adrenal cortex. Clinical, radiologic, and histologic features. King Faisal Specialist Hosp. Bilateral symptomatic adrenal myelolipoma. Traumatic rupture of an adrenal myelolipoma.