Adrenal Tuberculosis Mimicking a Malignancy by Direct Hepatic Invasion: Emphasis on Adrenohepatic Fusion as the Potential Route

A 64-year-old female with primary adrenal insufficiency presented with a right adrenal mass showing quantitative nonadenoma features on dedicated adrenal computed tomography (CT). CT showed direct invasion of the mass to the adjacent hepatic parenchyma, and high uptake was noted on 18F-fluorodeoxyglucose positron emission tomography/ computed tomography (18F-FDG PET/CT). Laparoscopy revealed gross invasion of the adrenal lesion into the liver, which led to the en-bloc resection including the involved liver.

Source: Clinical Imaging - May 7, 2015 Category: Radiology Authors: Yeun Yoon Kim, Sung Yoon Park, Young Taik Oh, Dae Chul Jung Tags: Case report Source Type: research