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  • Title: [A rare form of adrenal tuberculosis presenting as an asymptomatic adrenal mass].
    Author: Sarf I, el Mejjad A, Badre L, Dakir M, Aboutaieb R, Meziane F.
    Journal: Prog Urol; 2003 Feb; 13(1):128-30. PubMed ID: 12703369.
    Abstract:
    The authors report a case of adrenal tuberculosis discovered during staging of a biopsy-confirmed bladder tumour, in a 70-year-old patient consulting for haematuria. Cystoscopy with biopsy revealed a high-grade papillary urothelial carcinoma invading the detrusor. Staging abdominopelvic computed tomography revealed a necrotic, multilobed right adrenal mass. Histological examination of the adrenalectomy specimen revealed adrenal tuberculosis. Antituberculous therapy was administered for 9 months and comprised streptomycin, isoniazid, rifampicin and pyrazinamide for 2 months, followed by rifampicin and isoniazid for 7 months. In the light of this case and with the increasing incidence of AIDS, the diagnosis of adrenal tuberculosis must be considered in any case of incidentaloma.
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