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Cirugía Española (English Edition) Differential diagnosis of retroperitoneal tumor: chronic adrenal hematoma, an un...
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Vol. 102. Issue 5.
Pages 295 (May 2024)
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Differential diagnosis of retroperitoneal tumor: chronic adrenal hematoma, an uncommon diagnosis
Diagnóstico diferencial de tumor retroperitoneal: hematoma crónico suprarrenal, un diagnóstico infrecuente
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Álvaro Soler-Silva
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soler.medi@gmail.com

Corresponding author.
, Verónica Aranaz-Ostáriz, Sandra Lario Pérez, José Antonio Barreras
Departamento de Cirugía General y Aparato Digestivo, Hospital General Universitario de Elche, Alicante, Spain
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Retroperitoneal tumours are a group of lesions that can present with non-specific symptoms, making them difficult to diagnose. Among the most frequent are liposarcomas, derived from fat cells; GISTs, derived from the connective tissue of the gastrointestinal tract; rhabdomyosarcomas, deriving from embryonic muscle cells; the renal and adrenal branches; and neurogenic cells, such as neuroblastoma or schwannoma. We present a retroperitoneal tumour (Fig. 1) in a 79-year-old man suspected of liposarcoma, with functional dyspepsia for 3 months and no history of trauma, whose core needle biopsy was not cost-effective. After non-compartmental surgery, according to the patient's wishes, the pathological study described a chronic hematoma secondary to a haemorrhage of the left adrenal gland, an uncommon diagnosis to be highlighted.

Fig. 1

Please cite this article as: Soler-Silva Á, Aranaz-Ostáriz V, Lario Pérez S, Barreras JA. Diagnóstico diferencial de tumor retroperitoneal: hematoma crónico suprarrenal, un diagnóstico infrecuente. Cir Esp. 2024. https://doi.org/10.1016/j.ciresp.2023.09.005

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