Evidence map›Paper›PMID 31434506›Full record

ArticleJournal of investigative medicine high impact case reports

Adrenal Incidentaloma: Challenges in Diagnosing Adrenal Myelolipoma.

Sreedhar Adapa, Srikanth Naramala, Vijay Gayam, Frank Gavini, Hemant Dhingra, Florette Kimberly Gray Hazard, Narothama Reddy Aeddula, Venu Madhav Konala

Abstract readCase Reports
In one paragraph

Article in Journal of investigative medicine high impact case reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Review
  2. A Rare Case of Catecholamine-Secreting Adrenal Myelolipoma.Journal of the ASEAN Federation of Endocrine Societies · 2025
    Article
  3. Article
  4. Giant symptomatic adrenal myelolipoma: A case report.Annals of medicine and surgery (2012) · 2022
    Article
  5. [Adrenal myelolipoma, review of the literature in Mexico apropos of two cases].Revista medica del Instituto Mexicano del Seguro Social · 2022
    Review
  6. Article
  7. An Adrenal Myelolipoma With Hemorrhage.AACE clinical case reports
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sreedhar Adapa1 Kaweah Delta Medical Center, Visalia, CA, USA.ORCID 0000-0001-5608-5654
Srikanth Naramala2 Adventist Medical Center, Hanford, CA, USA.
Vijay Gayam3 Interfaith Medical Center, New York, NY, USA.ORCID 0000-0001-5194-9134
Frank Gavini2 Adventist Medical Center, Hanford, CA, USA.
Hemant Dhingra4 Saint Agnes Medical Center, Fresno, CA, USA.
Florette Kimberly Gray Hazard5 Stanford University, Stanford, CA, USA.
Narothama Reddy Aeddula6 Deaconess Health System, Evansville, IN, USA.
Venu Madhav Konala7 Ashland-Bellefonte Cancer Center, Ashland, KY, USA.ORCID 0000-0003-1953-8815

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenal myelolipomas (AMLs) are rare benign adrenal tumors, containing adipose and hematopoietic tissue, a result of reticuloendothelial cell metaplasia. Incidence on autopsy has been reported from 0.08% to 0.4%. AMLs are generally considered nonsecretory. The functional aspect of adrenal incidentaloma should be evaluated. In this article, we report a case of a 40-year-old male, who presented with uncontrolled hypertension and renal failure, with imaging revealing an adrenal incidentaloma. He was started on dialysis for acute fluid overload, and workup for pheochromocytoma revealed an elevated serum norepinephrine level of 1181 pg/mL. Free metanephrine and normetanephrine levels were low when checked pre- and post-dialysis. Complete resection of the encapsulated right adrenal mass was performed. Pathology of the adrenal tumor demonstrates an 11.5 × 9.5 × 7.5 cm well-circumscribed, partially encapsulated proliferation of mature adipose tissue with admixed hemopoietic elements consistent with myelolipoma weighing 29.3 g. This case highlights the inclusion of a full metabolic workup for all adrenal incidentalomas, including AML.

Indexed as

Adrenal Gland NeoplasmsAdrenal GlandsAdultHumansHypertensionIncidental FindingsMaleMyelolipomaRenal InsufficiencyTomography, X-Ray Computedadrenal incidentalomaadrenal myelolipomas

Identifiers

PMID31434506
PMCPMC6709432

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.