Adrenocortical Tumor Presenting As Hemoperitonium - A Rare Case

Adrenocortical carcinomas are rare malignancies, which can present with diverse clinical manifestations. They can be functional, i. e. , hormone secreting tumors or non-functional. In cases of hormone-secreting tumors, the hormone in excess determines the diagnostic clinical presentation. On the other hand, biologically inert tumors are diagnosed either due to their mass effect or as incidental findings. A very few present as a result of their potentially life-threatening complications. We present here a case of a 28-year-old female patient who underwent emergency laparotomy due to signs of acute abdomen and concomitant cardiovascular collapse caused by a spontaneously ruptured left adrenocortical carcinoma. The patient was operated for that and left adrenalectomy with splenectomy was performed where the tumor was removed in toto.