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Case report
Development of multiple adrenal myelolipomas after trauma-induced adrenal haemorrhage
  1. Karthik M Sundaram1,2,
  2. James Gaulding3,
  3. Lan Lin Gellert3 and
  4. Ricardo B Fonseca1
  1. 1Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  2. 2Department of Radiology, Stanford University, Stanford, California, USA
  3. 3Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to Dr Ricardo B Fonseca; ricardo.fonseca{at}


Adrenal myelolipomas represent a benign neoplasm with known associations with many chronic diseases, 21-hydroxylase deficiency and cancer. However, the aetiology of adrenal myelolipomas remains unknown. Here, we present a case of a patient with image-proven bilateral adrenal haemorrhages caused by trauma with the subsequent development of bilateral adrenal myelolipomas several years later. Resection and pathological analysis of left adrenal gland confirmed the presence of multiple adrenal myelolipomas. Our case strongly suggests that trauma was the inciting event that led to the formation of these lesions.

  • adrenal disorders
  • pathology
  • radiology
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  • Contributors KMS and RBF analysed the radiological images, wrote and edited the manuscript. JG and LLG analysed the histology and pathology images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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