Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome | Zendy

Subramanian Kannan | Zendy; Ankita Satra | Zendy; Amir H. Hamrahian | Zendy

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Incidental Lipid Poor Adrenal Mass in a Patient with Antiphospholipid Syndrome

Author(s) -

Subramanian Kannan,

Ankita Satra,

Amir H. Hamrahian

Publication year - 2013

Publication title -

case reports in endocrinology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.26

H-Index - 6

eISSN - 2090-6501

pISSN - 2090-651X

DOI - 10.1155/2013/379852

Subject(s) - medicine , adrenal hemorrhage , radiology , antiphospholipid syndrome , radiological weapon , hematoma , hounsfield scale , lesion , incidentaloma , work up , adrenal disorder , pathology , surgery , computed tomography , thrombosis , insulin resistance , glucose homeostasis , obesity

Adrenal incidentalomas are commonly encountered in this era of ubiquitous imaging. The attenuation of the incidentaloma measured in Hounsfield units (HU) is an important step in the work up. Attenuation less than 10 HU indicates a benign lesion in more than 98% of cases, whereas attenuation greater than 30 HU is highly suspicious for adrenocortical cancer (ACC). Adrenal hematoma is rarely suspected clinically and exhibits no specific clinical symptoms or laboratory findings. There are multiple radiological features of adrenal hemorrhage and can mimic ACC. We present a case of an adrenal mass in a patient with antiphospholipid syndrome and discuss radiological clues to differentiate adrenal hematomas from ACC and thus avoid unnecessary surgical intervention.

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