Cavernous Haemangioma of the Adrenal Gland: A Case Report with Review of Literature

Abstract

Cavernous haemangioma of adrenal gland are rare benign, non-functioning tumours. They are incidental finding in the majority of cases with few cases detected at an earlier stage by virtue of having functional status. On imaging they have a characteristic temporal sequence of contrast enhancement from peripheral nodular to centripetal fill-in. Atypical enhancement patterns arise due to presence of large areas of necrosis within. The lesion might cause mass effect on adjacent structures on attaining large size, however shows no tendency to invade adjacent organs or vascular structures. The present case is of cavernous haemangioma in an elderly male patient presenting as vague right lumbar lump has been reported. CECT abdomen revealed a large necrotic right adrenal mass lesion suspicious for malignancy. The tumour was surgically removed with histopathological findings compatible with haemangioma. Even though rare; cavernous haemangiomas should always be kept in mind for differential of any adrenal mass. Low frequency of occurrence and lack of specific symptoms makes these tumours to be invariably diagnosed postoperatively.

Keywords

• adrenal lesion
• centripetal fill-in
• malignancy
• peripheral nodular enhancement