PMC7046110_01
CT scan image showing heterogenous fatty masses 8.35 x 5.73cm with negative attenuation value (-112 HU) in a right adrenal mass
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Computed tomography (CT) scan showed an 8.35 x 5.73cm right adrenal mass, composed of fat tissue, which has a -112 HU value (Figure 1).
Trocar positioning
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A surgical right adrenalectomy was performed through laparoscopic transperitoneal approach (Figure 2 and Figure 3).
Laparoscopic adrenalectomy
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A surgical right adrenalectomy was performed through laparoscopic transperitoneal approach (Figure 2 and Figure 3).
Right adrenalectomy specimen
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Histopathology revealed a large and encapsulated mass measuring 8.5cm x 8.5cm x 4.5cm (Figure 4).
Histopathology showing mature fat cells with hematopoitic cells typical of adrenal myelolipomas
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Microscopy revealed a lesion was composed of mature adipose tissue with hematopoietic cells without signs of cell atypia, thus confirming the diagnosis of adrenal myelolipoma (Figure 5).