Adrenal hemangioma: A rare incidental tumor managed with laparoscopic partial adrenalectomy

Adrenal hemangiomas are rare, non-functional vascular tumors often discovered incidentally and frequently mistaken for malignant adrenal masses. We present a 49-year-old man with an asymptomatic, hypervascular right adrenal lesion detected on routine imaging. Although hormonal evaluation was normal and the likelihood of malignancy was low, radiologic features could not definitively exclude a neoplasm. The patient underwent laparoscopic partial adrenalectomy with uneventful recovery. Histopathology confirmed adrenal hemangioma. This case highlights the diagnostic challenges of hypervascular adrenal masses and considerations for adrenal-sparing surgical management.

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Publication Details

Journal
Urology Case Reports
Published
2025-12-07
DOI
https://doi.org/10.1016/j.eucr.2025.103305
Primary Topic
Adrenal and Paraganglionic Tumors
Type
article
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article

Adrenal hemangioma: A rare incidental tumor managed with laparoscopic partial adrenalectomy

Farzad Hadaegh, Arash Ranjbar, Mehdi Dadpour, Melissa M. Najarian et al.
Urology Case Reports
Adrenal and Paraganglionic Tumors
article

Adrenal hemangioma: A rare incidental tumor managed with laparoscopic partial adrenalectomy

Farzad Hadaegh, Arash Ranjbar, Mehdi Dadpour, Melissa M. Najarian, Nooshin Ahmadi, Niloofar Irandoost
article en

Abstract

Adrenal hemangiomas are rare, non-functional vascular tumors often discovered incidentally and frequently mistaken for malignant adrenal masses. We present a 49-year-old man with an asymptomatic, hypervascular right adrenal lesion detected on routine imaging. Although hormonal evaluation was normal and the likelihood of malignancy was low, radiologic features could not definitively exclude a neoplasm. The patient underwent laparoscopic partial adrenalectomy with uneventful recovery. Histopathology confirmed adrenal hemangioma. This case highlights the diagnostic challenges of hypervascular adrenal masses and considerations for adrenal-sparing surgical management.

Urology Case ReportsVol. 64
Research Institute for Endocrine Sciences (IR), Shahid Beheshti University of Medical Sciences (IR)
Openalex Percentile: Top 42%
Adrenal and Paraganglionic Tumors
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Adrenal hemangioma: A rare incidental tumor managed with laparoscopic partial adrenalectomy — Farzad Hadaegh, Arash Ranjbar, et al. · Urology Case Reports (2025) | TGRS Research Map | TGRS