case_images: PMC3268705_01
case_images: (A) Ultrasound aspect of dilated common bile duct with images suggestive of choledocholithiasis (arrows). (B) Computed tomography saggital view showing the mass in the right adrenal topography (arrow).
case_images: 1752-1947-6-4-1.jpg
case_images: PMC3268705_01_1752-1947-6-4-1.jpg
case_images: F1
case_images: During transabdominal ultrasound (US), intrahepatic and extrahepatic bile duct dilatation and stones in the common bile duct were observed (Figure 1A). A large, well-defined, soft tissue density lesion with intrinsic fat density areas in the right adrenal topography was identified (Figure 1B).
case_images: Protrusion of the left hepatic lobe (arrow heads) through the abdominal wall defect (arrow) on axial view of computed tomography.
case_images: 1752-1947-6-4-2.jpg
case_images: PMC3268705_01_1752-1947-6-4-2.jpg
case_images: F2
case_images: A computed tomography (CT) scan revealed a midline abdominal wall hernia defect with protrusion of the left hepatic lobe (Figure 2).
case_images: Surgical aspect once the left hepatic lobe was dissected and the hernia content was reduced.
case_images: 1752-1947-6-4-3.jpg
case_images: PMC3268705_01_1752-1947-6-4-3.jpg
case_images: F3
case_images: A left lobe protrusion through the abdominal wall defect was found, and a reduction of the lobe to its normal position was performed (Figure 3).
case_images: (A) Macroscopic aspect of the right adrenal mass. (B) Histology demonstrated a solid tumor formed by well-differentiated adipose cells, fibrous stroma in regular septa, and lymphoid cells, indicative of an adrenal myelolipoma (hematoxylin and eosin, x10).
case_images: 1752-1947-6-4-4.jpg
case_images: PMC3268705_01_1752-1947-6-4-4.jpg
case_images: F4
case_images: Macroscopically, a 12cm, yellowish, soft tumor was found (Figure 4A). Histopathology revealed a solid tumor formed by completely differentiated adult-type adipose cells, fibrous stroma in regular septa with scarce venous capillaries, and scattered or grouped lymphoid cells, indicative of an adrenal myelolipoma (Figure 4B).