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RESIDENT’S CORNER

Cavernous hemangioma of the adrenal gland mimicking a hepatic hemangioma

Danielle Anne Jenkins¹, Jesse Ory², Tarek Rahmeh³, Matthew Ryan Acker⁴

1 Department of Urology, Queen’s University, Kingston, Ontario
2 Department of Urology, Dalhousie University, Halifax, Nova Scotia, Canada
3 Department of Pathology, Saint John Regional Hospital, Saint John, New Brunswick, Canada
4 Department of Urology, Saint John Regional Hospital, Saint John, New Brunswick, Canada
Address correspondence to Dr. Danielle Anne Jenkins, Department of Urology, Queen's University, Kingston Health Sciences Centre, KGH Site, Victory 4 76 Stuart Street, Kingston, ON K7L 2V7 Canada

Canadian Journal of Urology 2020, 27(2), 10192-10194.

Abstract

Adrenal cavernous hemangiomas are a rare, benign, and non-functional tumor. We report a case of a 62-year-old male who presented with right upper quadrant and flank pain. Physical examination revealed a fullness of the right upper quadrant. Both computed tomography and magnetic resonance imaging suggested a hemangioma originating from the liver. During angiography with the intent of embolization, it was discovered that the vascular supply was consistent with an adrenal mass rather than a hepatic origin. The patient was referred to Urology and underwent curative right open adrenalectomy and nephrectomy. Histopathology confirmed the diagnosis of an adrenal cavernous hemangioma.

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