Isolated unilateral adrenal hemorrhage (case Report)

AUTHORS

Shirin Honarmand 1 , Heshmattolah Soleimani 2 , * , Anvar elyasi 2

1 Kurdistan University of Medical Science, Sanandaj, Iran

2 Dept. of Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran

How to Cite: Honarmand S, Soleimani H, elyasi A. Isolated unilateral adrenal hemorrhage (case Report), J Kermanshah Univ Med Sci. 2013 ; 16(6):e77343.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 16 (6); e77343
Published Online: January 29, 2013
Article Type: Case Report
Received: July 14, 2012
Accepted: October 23, 2012

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Abstract

Background: Isolated adrenal hemorrhage is an uncommon condition and its diagnosis is usually made during autopsy. Adrenal hemorrhage (AH) is one of the very rare complications of trauma in adults. AH is associated with meningococcal septicemia and disseminated intravascular coagulation (water house–Friderichsen syndrome). Hypotension, tumors, complications of pregnancy, surgical stress and anticoagulation therapy may also cause AH.

Case Report: The case was a 19 year-old athlete with abdominal pain in RUQ from 3days ago in association with nausea, vomiting, loss of appetite, and history of minor abdominal trauma that was admitted to the emergency ward, diagnostic measures  such as abdominal ultrasound and CT Scan revealed a hematoma like mass in right adrenal. During operation a hemorrhagic adrenal mass like was founded the patient underwent adrenalectomy with evacuation of hematoma. Pathologic examination confirmed an adrenal hemorrhage and necrosis.

Conclusion: Because of specific anatomic location of Rt. Adrenal gland and high concentration of catecholamines, minor abdominal trauma may cause insidious, isolatated unilateral adrenal hemorrhage.

Keywords

adrenal hemorrhage adrenal mass adrenal

© 2013, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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