ABSTRACT
A 67-year-old woman was evaluated for asymptomatic microscopic hematuria. Intravenous urography and computed tomography demonstrated an adrenal mass, but the workup for a functional adrenal tumor was negative. The mass was surgically resected, with a histologic diagnosis of adrenal ganglioneuroma. No further treatment was necessary. After the diagnosis was made, the patient reported a family history positive for neuroblastic tumors. Two of her grandchildren had presented at early ages with a ganglioneuroblastoma and a third had presented with a ganglioneuroma. This presentation is unique because ganglioneuroma, especially that of adrenal origin, is rare in the adult population, and familial cases are extremely uncommon.
Subject(s)
Adrenal Gland Neoplasms/genetics , Ganglioneuroma/genetics , Adolescent , Adrenal Gland Neoplasms/pathology , Adrenal Gland Neoplasms/surgery , Aged , Child , Female , Ganglioneuroma/pathology , Ganglioneuroma/surgery , Genetic Predisposition to Disease , Humans , Infant , PedigreeABSTRACT
Ileal loop urinary diversion requires long-term followup. A case of an ileal conduit volvulus with a retroperitoneal urinoma 14 years after the initial procedure is reported. A brief discussion of long and short-term complications of ileal loops is presented.