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Case Report

Giant Adrenal Cavernous Hemangioma in a Patient with Familial Adenomatous Polyposis

1
Pathology Department, Med Tahar Maamouri Hospital, Tunis El Manar University, Tunis 2045, Tunisia
2
Surgery Department, Med Tahar Maamouri Hospital, Tunis El Manar University, Tunis 2045, Tunisia
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(3), 878; https://doi.org/10.4081/cp.2016.878
Submission received: 9 August 2016 / Revised: 9 August 2016 / Accepted: 22 September 2016 / Published: 10 October 2016

Abstract

Adrenal hemangioma is an uncommon benign vascular tumor that is often discovered incidentally. It has never been reported in association with familial adenomatous polyposis. We report a case of a 60-year old man with a history of familial adenomatous polyposis, in whom a huge retroperitoneal cyst of 18 × 17 cm was discovered during routine radiologic evaluation. Because of the impossibility of ruling out the presence of malignancy, surgical cystectomy was performed, associated to a scheduled total colectomy. Pathological examination revealed that the cyst corresponded to an adrenal cavernous hemangioma. Colonic adenomas did not show signs of degeneration. Screening for adenomatous polyposis coli (APC) gene mutation was not carried out. As familial adenomatous polyposis is known to involve a variety of extracolonic manifestations, this finding raises the suspicion of a possible variant of this syndrome including adrenal hemangioma. An extensive study based on a larger patient series with genetic exploration is necessary.
Keywords: hemangioma; cavernous; adrenal gland; familial adenomatous polyposis hemangioma; cavernous; adrenal gland; familial adenomatous polyposis

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MDPI and ACS Style

Bacha, D.; Chaabane, A.; Khanchel, F.; Néchi, S.; Touinsi, H.; Chelbi, E. Giant Adrenal Cavernous Hemangioma in a Patient with Familial Adenomatous Polyposis. Clin. Pract. 2016, 6, 878. https://doi.org/10.4081/cp.2016.878

AMA Style

Bacha D, Chaabane A, Khanchel F, Néchi S, Touinsi H, Chelbi E. Giant Adrenal Cavernous Hemangioma in a Patient with Familial Adenomatous Polyposis. Clinics and Practice. 2016; 6(3):878. https://doi.org/10.4081/cp.2016.878

Chicago/Turabian Style

Bacha, Dhouha, Abir Chaabane, Fatma Khanchel, Saloua Néchi, Hassen Touinsi, and Emna Chelbi. 2016. "Giant Adrenal Cavernous Hemangioma in a Patient with Familial Adenomatous Polyposis" Clinics and Practice 6, no. 3: 878. https://doi.org/10.4081/cp.2016.878

APA Style

Bacha, D., Chaabane, A., Khanchel, F., Néchi, S., Touinsi, H., & Chelbi, E. (2016). Giant Adrenal Cavernous Hemangioma in a Patient with Familial Adenomatous Polyposis. Clinics and Practice, 6(3), 878. https://doi.org/10.4081/cp.2016.878

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