Idiopathic Unilateral Adrenal Hemorrhage
Keywords:
idiopathic adrenal hemorrhage, unilateral adrenal hemorrhage, adrenal hematomaAbstract
Unilateral adrenal hemorrhages are a rare finding and when discovered they are usually due to a blunt trauma or secondary to anticoagulation therapy. We report a case of a 72-year-old Filipino male presenting with an unsuspected large adrenal mass discovered on abdominal computed tomography that was requested to evaluate a palpable soft, non-tender right lumbar mass. Characteristics of the mass on CT scan pointed to a possible adrenal neoplasm. Endocrine work up revealed a non-functioning adrenal mass. Exploratory laparotomy and resection of the retroperitoneal mass was done with a histopathologic finding of a diffuse adrenal hemorrhage.
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Imachi H, Murao K, Yoshimoto T et al. Idiopathic unilateral adrenal hemorrhage in an elderly patient. Endocr. 2010; 37(2):249–52. http://dx.doi.org/10.1007/s12020-010-9310-z.
Hoeffel C, Legmann P, Luton JP, Chapuis Y, Fayet-Bonnin P. Spontaneous unilateral adrenal hemorrhage: Computerized tomography and magnetic resonance imaging findings in 8 cases. J Urol. 1995;154(5):1647-51.
Vella A, Nippoldt TB, Morris JC III. Adrenal hemorrhage: A 25-year experience at the Mayo Clinic. Mayo Clin Proc. 2001; 76(2):161-8. http://dx.doi.org/10.4065/76.2.161.
Kawashima A, Sandler CM, Ernst RD, et al. Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 1999;19(4): 949-63.
Dhawan N, Bodukam VK, Thakur K, Singh A, Jenkins D, Bahl J. Idiopathic Bilateral Adrenal Hemorrhage in a 63-year-old male: A case report and review of the literature. Case Rep Urol. 2015;2015. http://dx.doi.org/10.1155/2015/503638.
Sasaki K, Yamada T, Gotoh K, et al. Idiopathic adrenal hematoma masquerading as neoplasm. Case Rep Gastroenterol. 2012 Jan;6(1):171-6.
Christoforides C, Petrou A, Loizou M. Idiopathic unilateral adrenal haemorrhage and adrenal mass: A case report and review of the literature. Case Rep Surg. 2013;2013. http://dx.doi.org/10.1155/ 2013/567186.
Young WF Jr. Management approaches to adrenal incidentalomas: a view from Rochester, Minnesota. Endocrinol Metab Clin North Am. 2000;29:159-185.
Young WF Jr. The incidentally discovered adrenal mass. N Engl J Med. 2007;356:601-610. http://dx.doi.org/10.1056/NEJMcp065470.
Nieman L. Approach to the patient with an adrenal incidentaloma. J Clin Endocrinol Metab. September 2010; 95(9):4106–4113. http://dx.doi.org/10.1210/jc.2010-0457.
Hamrahian A, Ioachimescu AG, Remer EM, et al. Clinical utility of noncontrast computed tomography attenuation value (Hounsfield Units) to differentiate adrenal adenomas/hyperplasias from nonadenomas: Cleveland clinic experience. J Clin Endocrinol Metab. 2005;90(2):871–77. http://dx.doi.org/10.1210/jc.2004-1627.
Allolio B, Fassnacht M. Clinical review: Adrenocortical carcinoma: Clinical update. J Clin Endocrinol Metab. 2006;91(6):2027–2037. htpp://dx.doi.org/10.1210/jc.2005-2639.
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