SURGICALLY RESECTED ADRENAL LEIOMYOMA - REPORT OF A CASE

This report describes the case of a 48-year-old woman found to have a leiomyoma of the left adrenal gland after presenting with anemia and h ypertension. An upper gastrointestinal series revealed a mass in the p osterior region of the body that distorted the stomach. A computed tom ography (CT) scan showed a well-circumscribed mass with a high-density outline in the left adrenal gland, and magnetic resonance imaging (MR I) revealed a homogeneous mass. Multiple catheter samplings of vena ca va blood revealed a slight elevation of epinephrine and norepinephrine in the left adrenal vein and the left renal vein. Thus, asymptomatic pheochromocytoma of the left adrenal gland was highly suspected as a p reoperative diagnosis and a left adrenalectomy was performed. However, histologic examination subsequently revealed findings suggestive of l eiomyoma of the adrenal gland, which was confirmed by electron microsc opy. The patient's postoperative course was uneventful and she has rem ained free from any further symptoms.