Evidence map›Paper›PMID 40034912›Full record

ArticleIJU case reports2025

Spontaneous hemorrhage in adrenal myelolipoma treated with elective laparoscopic adrenalectomy following selective arterial embolization.

Itsuho Ito, Kosuke Takehara, Yuya Miyazaki, Ayaka Tsuchiyama, Yuta Mukae, Koichi Hayakawa, Ichiro Sakamoto, Junji Irie, Junichi Watanabe

Abstract read
In one paragraph

Article in IJU case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Itsuho ItoDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.
Kosuke TakeharaDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.ORCID https://orcid.org/0009-0000-6448-2668
Yuya MiyazakiDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.
Ayaka TsuchiyamaDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.
Yuta MukaeDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.
Koichi HayakawaCoordination Office for Emergency Medicine and International Response, Acute and Critical Care Center, Nagasaki University Hospital Nagasaki Japan.
Ichiro SakamotoDepartment of Radiology Nagasaki Harbor Medical Center Nagasaki Japan.
Junji IrieDepartment of Pathology Nagasaki Harbor Medical Center Nagasaki Japan.
Junichi WatanabeDepartment of Urology Nagasaki Harbor Medical Center Nagasaki Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Adrenal myelolipoma is a benign adrenal tumor that is typically asymptomatic and is rarely associated with hemorrhage or rupture. Here, we present a case of adrenal myelolipoma with spontaneous hemorrhage. Case presentation: A 72-year-old man with a history of obesity and hypertension visited the Department of Emergency Medicine with a sudden onset of severe left flank pain. Enhanced computed tomography showed a left adrenal tumor containing a fat component with a focus of contrast medium visualized extravasation. The patient was diagnosed with adrenal myelolipoma with spontaneous hemorrhage. Selective adrenal arterial embolization was performed to manage the severe pain, and the condition immediately improved. Four months later, laparoscopic left adrenalectomy was performed via a transperitoneal approach. Histopathological examination confirmed the diagnosis of adrenal myelolipoma. Conclusion: Urgent transarterial embolization followed by elective laparoscopic adrenalectomy is a safe and minimally invasive treatment option for managing adrenal myelolipomas with hemorrhage.

Indexed as

adrenal myelolipomaarterial embolizationhemorrhagelaparoscopic adrenalectomy

Identifiers

PMID40034912
PMCPMC11872213

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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.