{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:53:42Z","timestamp":1774616022323,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,2,27]]},"abstract":"<jats:p>A 55-year-old non-diabetic, normotensive man presented with dull aching pain in the left upper abdomen of 2-year duration. He had no significant medical, surgical or family history. Relevant blood tests and chest skiagram were normal. 24\u2005h urinary vanillylmandelic acid levels and serum electrolyte levels were normal. Ultrasonogram and CT findings were suggestive of a 15\u00d711\u2005cm giant left adrenal myelolipoma. A left adrenalectomy was performed using a laparoscopic transperitoneal approach employing three ports. Pneumoperitoneum was achieved by this closed method. After successful excision, the internal contents were suctioned and the capsule was retrieved through a 2.5\u2005cm incision. The operating time was 210\u2005min and total blood loss 50\u201360\u2005mL; no blood transfusions were needed. The patient was discharged on the third postoperative day. Histopathology confirmed an adrenal myelolipoma. The cited case is of the largest adrenal myelolipoma resected entirely using a laparoscopic approach.<\/jats:p>","DOI":"10.1136\/bcr-2016-215048","type":"journal-article","created":{"date-parts":[[2016,3,17]],"date-time":"2016-03-17T16:53:39Z","timestamp":1458233619000},"page":"bcr2016215048","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Is size really a contraindication for laparoscopic resection of giant adrenal myelolipomas?"],"prefix":"10.1136","volume":"2016","author":[{"given":"Ranjit","family":"Chaudhary","sequence":"first","affiliation":[{"name":"Urology & Andrology Clinic, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhijeet","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kulwant","family":"Singh","sequence":"additional","affiliation":[{"name":"People's College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakesh","family":"Biswas","sequence":"additional","affiliation":[{"name":"LN Medical College and Research Centre, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,3,17]]},"reference":[{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00368-3"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.pas.0000202044.05333.17"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.3","first-page":"211","article-title":"Hormonally induced transformation of adrenal into myeloid tissue","volume":"26","author":"Selye","year":"1950","journal-title":"Am J Pathol"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)64926-7"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.5","doi-asserted-by":"publisher","DOI":"10.1007\/s002610000061"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2004.00815.x"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.7","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.208.1.9646797"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.8","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.166.2.8553954"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.9","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.54.9.707"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.10","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-5-200303040-00013"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.11","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000160080.20391.c6"},{"key":"2025082704120580000_2016.mar17_1.bcr2016215048.12","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900220"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T11:12:14Z","timestamp":1756293134000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,17]]},"references-count":12,"alternative-id":["10.1136\/bcr-2016-215048"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215048","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,17]]}}}