Idiopathic Unilateral Adrenal Hemorrhage

Authors

  • Maria Patricia Puno-Ramos The Medical City, Pasig City
  • Elizabeth Paz-Pacheco The Medical City, Pasig City
  • Stephanie Mae Ang The Medical City, Pasig City
  • Gregorio Cortez III The Medical City, Pasig City

Keywords:

idiopathic adrenal hemorrhage, unilateral adrenal hemorrhage, adrenal hematoma

Abstract

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. 

Downloads

Download data is not yet available.

Author Biographies

Maria Patricia Puno-Ramos, The Medical City, Pasig City

Section of Endocrinology & Metabolism, Department of Medicine

Elizabeth Paz-Pacheco, The Medical City, Pasig City

Section of Endocrinology & Metabolism, Department of Medicine

Stephanie Mae Ang, The Medical City, Pasig City

Department of Radiology

Gregorio Cortez III, The Medical City, Pasig City

Anatomic Pathology Division, Department of Laboratories

References

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.

Published

2015-11-30

How to Cite

Puno-Ramos, M. P., Paz-Pacheco, E., Ang, S. M., & Cortez III, G. (2015). Idiopathic Unilateral Adrenal Hemorrhage. Journal of the ASEAN Federation of Endocrine Societies, 30(2), 163. Retrieved from https://asean-endocrinejournal.org/index.php/JAFES/article/view/239

Issue

Section

Case Reports

Most read articles by the same author(s)

1 2 3 4 5 6 > >>