Massive non-functioning Adrenocortical carcinoma presenting as acute abdomen without rupture: A case report.

Shady H Y B Girgis, Ihab H Y Barsoum, Shady Elia Anis, Mostafa Elgamal, Hany Yassa

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Shady H Y B GirgisUrology Department, Air Force Specialized Hospital, Cairo, Egypt.

Ihab H Y BarsoumUrology Department, Air Force Specialized Hospital, Cairo, Egypt.

Shady Elia AnisPathology Department, Kasr Alainy School of Medicine, Cairo University, Cairo, Egypt.

Mostafa ElgamalUrology Department, Air Force Specialized Hospital, Cairo, Egypt.

Hany YassaUrology Department, Air Force Specialized Hospital, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenocortical carcinoma (ACC) is a rare, aggressive malignancy with diverse clinical presentations. Acute abdomen is an exceptionally uncommon manifestation, typically reflecting tumor rupture. We report a 39-year-old male presenting with acute abdominal pain and a palpable left upper-quadrant mass. Imaging demonstrated a massive adrenal tumor (17.8 × 15.1 × 20.2cm). En-bloc resection with negative margins was achieved without rupture while preserving adjacent organs. Histopathology confirmed ACC. The patient remains disease-free 36 months postoperatively without adjuvant therapy. Acute abdomen can be the presenting symptom of ACC even without tumor rupture. Timely intervention can prevent possible impending rupture, enabling complete resection and favorable oncological outcomes.

Indexed as

Acute abdomenAdrenocortical carcinomaCase reportNon-functioning tumor

Identifiers

PMID41641019

DOI10.1016/j.eucr.2026.103350

PMCPMC12864658

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