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Adrenal extramedullary haematopoiesis: an unusual incidentaloma
  1. Surabhi Agarwal1,
  2. Mousam Dey1,
  3. Priyank Yadav2 and
  4. Hira Lal1
  1. 1Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
  2. 2Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
  1. Correspondence to Dr Hira Lal; hiralal2007{at}


We report a case of adrenal extramedullary haematopoiesis in a 24-year-old women who presented with pallor and weakness. Ultrasonography of the abdomen detected moderate hepatosplenomegaly with multiple lesions in the spleen and an incidental right adrenal mass. There was no ascites or lymphadenopathy. CT scan revealed a heterogeneous right adrenal mass with multiple non-enhancing lesions in the spleen. Ultrasound guided trucut biopsy was performed after excluding a functioning tumour, which confirmed the diagnosis. Later, she was diagnosed to have haemoglobin E/beta thalassaemia and was put on hydroxyurea trial.

  • endocrine system
  • haematology (drugs and medicines)
  • adrenal disorders
  • haematology (incl blood transfusion)

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  • Contributors SA, MD and HL conducted the study, including patient recruitment, data collection and data analysis. SA and MD did the literature review and prepared the manuscript draft. All the authors had complete access to study data. The manuscript was finally reviewed by SA and PY.

  • 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.