Here we report a rare case of coexisting renal cell carcinoma (RCC) with leiomyomatous stroma and a ruptured adrenal aneurysm. The patient was a 75-year-old woman with acute abdominal pain. Imaging studies showed a left peri-renal hematoma and a mass in the left kidney. Left nephrectomy and adrenalectomy were performed. Pathological examination showed a ruptured aneurysm in the left adrenal gla...

A 35-year-old patient presented with a 1-month history of fever, fatigue, and loss of weight and appetite. Clinical examination was unremarkable except for hypotension (90/60mmHg). The cause of fever could not be ascertained from routine investigations. Biochemistry results were: serum albumin 2.8gm/dL, international normalized ratio 1.4, serum cortisol 4μg/dL, serum sodium 122mEq/L, and serum ...

Cystic formation in association with adrenal neuroblastoma may be related to hemorrhage and necrosis of the tumor. We present an unusual case of congenital cystic fetal neuroblastoma of the right adrenal gland detected at 37 weeks' gestation which evolved into a complex echogenic mass 6 weeks after birth. Surgical exploration revealed a 3.5 x 3 x 3 cm right complex adrenal tumor which was resec...

conservatively in neonatal intensive care unit. Abdominal distension decreased gradually. He passed stools on day 5 of admission. Repeat X-ray abdomen showed no air fluid levels. He was started on feeds gradually and discharged on day 18 of life. His serial USG abdomen showed gradual decrease in right adrenal hematoma with complete resolution by six weeks of age with no calcifications and norma...

Patients who undergo transsphenoidal pituitary tumor resection require a multidisciplinary team approach, consisting of a neurosurgeon, an endocrinologist, and nurses. Successful transsphenoidal surgery needs expert nursing care for early identification and prompt treatment of pituitary dysfunction and neurosurgical complications. Pituitary dysfunction includes adrenal insufficiency, diabetes i...