{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:31Z","timestamp":1756339471871,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,13]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>A 38-yearr-old man presented with erectile dysfunction and infertility. On examination, he was hypertensive and detected to have a left flank mass. Blood investigations were unremarkable except raised serum noradrenaline levels. Imaging revealed multiple well-defined fat-containing hypodense lesions in left suprarenal area with largest one measuring 14\u00d716\u2009cm, suggestive of left adrenal myelolipoma. Diagnostic dilemma was posed due to discordance between clinical, biochemical and imaging findings. Left adrenal mass resection was planned keeping the possibility of pheochromocytoma. However, histopathology revealed it to be adrenal myelolipoma. Hypertension was resolved in the postoperative period and serum noradrenaline levels were normalised. Final diagnosis of a secretary adrenal myelolipoma was made, which is an extremely rare entity<\/jats:p>","DOI":"10.1136\/bcr-2020-239441","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T11:17:42Z","timestamp":1611919062000},"page":"e239441","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Giant secretory multifocal adrenal myelolipoma: a diagnostic dilemma"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9183-2317","authenticated-orcid":false,"given":"Brijesh Kumar","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasanna Ramana","family":"Arumugaswamy","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Chumber","sequence":"additional","affiliation":[{"name":"Head of Department, Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yashwant Singh","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,29]]},"reference":[{"key":"2025082708010376000_14.1.e239441.1","first-page":"71","article-title":"Adrenal myelolipoma: diagnosis and management","volume":"3","author":"Daneshmand","year":"2006","journal-title":"Urol J"},{"key":"2025082708010376000_14.1.e239441.2","first-page":"665","article-title":"Adrenal myelolipoma","volume":"73","author":"Olsson","year":"1973","journal-title":"Surgery"},{"key":"2025082708010376000_14.1.e239441.3","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.2799"},{"key":"2025082708010376000_14.1.e239441.4","doi-asserted-by":"crossref","DOI":"10.1093\/ajcp\/138.suppl1.302","article-title":"Adrenal myelolipoma masquerading as pheochromocytoma","volume":"138","author":"Ferguson","year":"2012","journal-title":"Am J Clin Pathol"},{"key":"2025082708010376000_14.1.e239441.5","doi-asserted-by":"crossref","first-page":"331","DOI":"10.4103\/0019-5359.26611","article-title":"Catecholamine secreting adrenal myelolipoma","volume":"60","author":"Tamidari","year":"2006","journal-title":"Indian J Med Sci"},{"key":"2025082708010376000_14.1.e239441.6","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s12020-017-1473-4","article-title":"Adrenal myelolipoma: a comprehensive review","volume":"59","author":"Decmann","year":"2018","journal-title":"Endocrine"},{"key":"2025082708010376000_14.1.e239441.7","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-5-298","article-title":"Giant secreting adrenal myelolipoma in a man: a case report","volume":"5","author":"Brogna","year":"2011","journal-title":"J Med Case Rep"},{"key":"2025082708010376000_14.1.e239441.8","doi-asserted-by":"crossref","first-page":"1223.e11","DOI":"10.1016\/j.urology.2007.09.046","article-title":"Bilateral adrenal myelolipoma associated with hyperaldosteronism: report of a case and review of the literature","volume":"70","author":"Jung","year":"2007","journal-title":"Urology"},{"key":"2025082708010376000_14.1.e239441.9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.2147\/CMAR.S145332","article-title":"Adrenal myelolipoma with hyperandrogenemia and schizophrenia","volume":"10","author":"Liu","year":"2018","journal-title":"Cancer Manag Res"},{"key":"2025082708010376000_14.1.e239441.10","doi-asserted-by":"crossref","first-page":"S249","DOI":"10.4103\/2230-8210.119588","article-title":"Functioning adrenal myelolipoma: a rare cause of hypertension","volume":"17","author":"Jakka","year":"2013","journal-title":"Indian J Endocrinol Metab"},{"key":"2025082708010376000_14.1.e239441.11","doi-asserted-by":"crossref","first-page":"389","DOI":"10.4103\/0377-4929.101755","article-title":"Left-Sided giant adrenal myelolipoma secreting catecholamine","volume":"55","author":"Udupa","year":"2012","journal-title":"Indian J Pathol Microbiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-239441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:01:09Z","timestamp":1756306869000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-239441"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,29]]},"published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1136\/bcr-2020-239441"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-239441","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}