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Case Reports in Urology
Volume 2012, Article ID 325675, 3 pages
Case Report

Primary Bilateral Non-Hodgkin's Lymphoma of the Adrenal Gland: A Case Report

1Department of Urology, University Hospital of Fez, 30000 Fez, Morocco
2Rue Zag, Rce Andalous III, Quarier Al-Wafe, 30070 Fes, Morocco
3Anatomy Laboratory, Faculty of Medicine and Pharmacy, University of Fez, 30000 Fez, Morocco

Received 5 October 2012; Accepted 19 November 2012

Academic Editors: G. Lombardi, A. Marte, and S. Takahashi

Copyright © 2012 Ahmed Amine Bouchikhi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Primary bilateral non-Hodgkin's lymphoma (NHL) of the adrenal gland is a very rare entity. Indeed less than 60 cases have been reported in the literature. Hence, we report a case of high-grade lymphoma of both adrenal glands that was found in a young patient of 32 years of age. The patient was admitted in the emergency department of our hospital with a profile of hemorrhagic shock. After stabilization, the imaging investigations demonstrated large bilateral adrenal masses. The CT-scan guided biopsy of both adrenal glands allowed the diagnosis of primary bilateral adrenal NHL. The patient died after the first chemotherapy session. The presence of bilateral adrenal masses associated with a rapid increase of volume should raise the diagnosis of primary adrenal non-Hodgkin's lymphoma.