{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T10:36:11Z","timestamp":1794652571180,"version":"4.9.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":207,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance<\/jats:title>\n                    <jats:p>Adrenal Leiomyomas are infrequent tumors with only a few cases reported to date. They are difficult to differentiate from malignant adrenal tumors due to non-specific findings on clinical examination and imaging studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We discuss the case of a 49-year old male who had been experiencing generalized abdominal pain for 14 months and was found to have a mass on ultrasonography. Further evaluation with Contrast-enhanced Computerized Tomography (CECT) revealed an uneven soft tissue density mass in the retroperitoneal region of the left side. The histopathological examination of the excised mass was suggestive of a mesenchymal tumor, which was further confirmed as leiomyoma by immunohistochemistry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion<\/jats:title>\n                    <jats:p>Adrenal Leiomyomas are rare smooth muscle tumors that present with heterogeneously enhancing mass on radiologic imaging. On histopathological examination, spindle cells arranged in lobules and fascicles can be appreciated. Positive staining for desmin and smooth muscle actin in immunohistochemistry confirms the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Identification of the type of tumor in any adrenal mass is challenging pertaining to the non-specific findings on imaging studies. So, prompt surgical resection is the mainstay of the treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.106249","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T22:40:42Z","timestamp":1627512042000},"page":"106249","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Adrenal Leiomyoma"],"prefix":"10.1097","volume":"85","author":[{"given":"Sujan","family":"Sharma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujan","family":"Timilsina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surya Prakash","family":"Joshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Bist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suraj","family":"Shrestha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sansar Babu","family":"Tiwari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-89-20260114","doi-asserted-by":"crossref","first-page":"2233","DOI":"10.21873\/invivo.12034","article-title":"Review of the literature on leiomyoma and leiomyosarcoma of the adrenal gland: a systematic analysis of case reports","volume":"34","author":"Sakellariou","year":"2020","journal-title":"In Vivo"},{"key":"R2-89-20260114","first-page":"101106","article-title":"The largest adrenal leiomyoma: a case report and literature review","volume":"29","author":"Pramod","year":"2020","journal-title":"Urol Case Rep"},{"key":"R4-89-20260114","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R5-89-20260114","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s00383-013-3264-1","article-title":"Case report of bilateral adrenal leiomyoma with review of literature","volume":"29","author":"Parelkar","year":"2013","journal-title":"Pediatr. Surg. Int"},{"key":"R6-89-20260114","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s12022-008-9013-7","article-title":"Leiomyoma of the adrenal gland presenting as a non-functioning adrenal incidentaloma: case report and review of the literature","volume":"18","author":"Lin","year":"2007","journal-title":"Endocr. Pathol"},{"key":"R7-89-20260114","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/BF00311827","article-title":"Surgically resected adrenal leiomyoma: report of a case","volume":"25","author":"Nishida","year":"1995","journal-title":"Surg. Today"},{"key":"R8-89-20260114","first-page":"71","article-title":"Leiomyoma: a rare cause of adrenal incidentaloma","volume":"18","author":"Alteer","year":"2013","journal-title":"J. Endocrinol. Metab. Diabetes S. Afr"},{"key":"R10-89-20260114","doi-asserted-by":"crossref","first-page":"304","DOI":"10.14740\/jem318w","article-title":"Adrenal leiomyoma mimicking adrenal malignancy: diagnostic challenges and review of literature","volume":"5","author":"Meher","year":"2015","journal-title":"J. Endocrinol. Metab"},{"key":"R11-89-20260114","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13244-019-0688-8","article-title":"Imaging features of adrenal masses","volume":"10","author":"Albano","year":"2019","journal-title":"Insights Imaging"},{"key":"R12-89-20260114","first-page":"345","article-title":"Laparoscopic management of an adrenal leiomyoma in an AIDS patient. A case report and review of the literature","volume":"9","author":"Gibbs","year":"2005","journal-title":"JSLS"},{"key":"R13-89-20260114","doi-asserted-by":"crossref","first-page":"106","DOI":"10.14740\/jem655","article-title":"Bilateral adrenal leiomyoma: a rare tumor with unusual presentation","volume":"10","author":"Khor","year":"2020","journal-title":"J. Endocrinol. Metab"},{"key":"R14-89-20260114","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S1607-551X(09)70355-9","article-title":"Adrenal leiomyoma treated by hand-assisted laparoscopic adrenalectomy: a case report","volume":"22","author":"Chang","year":"2006","journal-title":"Kaohsiung J. Med. Sci"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221007513?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221007513?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:22:47Z","timestamp":1768396967000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.106249"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.106249","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}