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Boo, Lee, Lee, and Won: A Case of An Incidentally Diagnosed Adrenal Venous Malformation in A Child
Case Report

Journal of the Korean Association of Pediatric Surgeons 2013; 19(2): 140-144.

Published online: 24 December 2013

DOI: https://doi.org/10.13029/jkaps.2013.19.2.140

A Case of An Incidentally Diagnosed Adrenal Venous Malformation in A Child

Yoon-Jung Boo, M.D.1, Eun-Hee Lee, M.D.2, Kwang-Chul Lee, M.D.2, Nam-Hee Won, M.D.3

1Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.

2Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.

3Department of Pathology, Korea University College of Medicine, Seoul, Korea.

Correspondence: Yoon-Jung Boo, M.D., Division of Pediatric Surgery, Korea University College of Medicine, Inchonro 73, Sungbuk-gu, Seoul 136-705, Korea. Tel: 02)920-6844, Fax: 02)928-1631, drboo@korea.ac.kr

Received 31 July 2013       Accepted 24 October 2013

Copyright © 2013 Korean Association of Pediatric Surgeons

Abstract

Adrenal venous malformation is an uncommon disease. We report a case of an incidentally diagnosed adrenal cystic mass during an evaluation for gastritis in a child. A 14-year-old girl admitted to our pediatric department for epigastric pain. After the gastroscopy, she was diagnosed with hemorrhagic gastritis. A 5.5 cm-sized cystic mass was incidentally found adjacent to her left adrenal gland during an ultrasound examination for evaluating her abdominal symptoms. She underwent laparoscopic surgery for the diagnosis and treatment of this cystic mass, which was confirmed to be venous malformation at pathologic diagnosis.

Keywords: Adrenal gland, Venous malformation, Adolescent, Adrenalectomy

Figures and Tables

Fig. 1
Abdominal computed tomography (CT) scan revealed a cystic mass without any septum originated on the left adrenal gland.
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Fig. 2
Laparoscopic view of the lesion during the operation shows a well-demarcated cystic mass containing with mild bluish-colored fluid inside.
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Fig. 3
Immunohistochemical stain with the specimen, the tumor formed a thrombus in the inner cavity and consisted of a dilated venous structure with a positive stain for CD34 (a marker for blood vessels) and a negative stain for D2 40 (a marker for lymphatics. A) CD34, B) D2 40, C) Elastin, D) Masson trichrome stain.
jkaps-19-140-g003

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