case_images: PMC11251877_01
case_images: Upper abdominal computed tomography (CT) showing a hyperdense shadow in the hepatorenal recess, with a CT value of 700-1400 HU, and size of approximately 78x54x71 mm, without enhancement on enhancement scanning.
case_images: fonc-14-1375748-g001.jpg
case_images: PMC11251877_01_fonc-14-1375748-g001.jpg
case_images: f1
case_images: Computed tomography (CT) of the whole abdomen ( Figure 1 ) revealed a 7.8 x 5.4 x 7.1 cm large calcified lesion with clear borders in the hepatorenal recess No enhancement of the lesion was seen on the enhancement scan.
case_images: The pathological specimen broadly suggests that the right adrenal gland occupying tissue is a piece of grayish-white elliptical tissue, with a smooth surface, intact peripheral membrane, and the cystic capsule exhibits a wall thickness of 0.1-0.2 cm in section, feels palpably hard, and the capsule cavity is filled with a white gypsum-like material.
case_images: fonc-14-1375748-g002.jpg
case_images: PMC11251877_01_fonc-14-1375748-g002.jpg
case_images: f2
case_images: The mass was firm in texture, with a milky-white effusion, some caseous exudate visible in the incision, and foci of milky-white calcification visible in the section ( Figure 2 ).
case_images: Hematoxylin and eosin staining of the pathological specimen reveals that the neoplasm of the right adrenal gland shows cystic changes, the wall of the capsule is calcified tissue, and the capsule is filled with patches of necrotic tissue.
case_images: fonc-14-1375748-g003.jpg
case_images: PMC11251877_01_fonc-14-1375748-g003.jpg
case_images: f3
case_images: Large deposits of calcium salts were seen in the lumen of the capsule without tissue structure, consistent with adrenal calcification ( Figure 3 ).
case_images: (A) shows an obvious calcification in the liver-kidney recess before operation, and figure (B) shows no obvious calcification in the hepatorenal recess after operation.
case_images: fonc-14-1375748-g004.jpg
case_images: PMC11251877_01_fonc-14-1375748-g004.jpg
case_images: f4
case_images: Figure 4 ).