Unilateral idiopathic adrenal hematomas with a preoperative diagnosis of indeterminate adrenal tumors

Charles Vincent, Joshua B. Brewster, Vijay Kedar, Chandru P. Sundaram

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Purpose: To identify the clinical and radiologic features of unilateral adrenal hematomas in adults. Patients and Methods: From our database of 75 patients who underwent adrenalectomies at our institution, we identified 3 patients who underwent adrenalectomy for adrenal tumors. The pathology report confirmed adrenal hematomas with no evidence of neoplasm. Results: The patients consisted of a man presenting with abdominal pain, another man presenting with persistent hypertension, and a woman presenting with hypertension, headache, palpitations, and diaphoresis. All patients were anemic, receiving aspirin, and had previous abdominal surgeries under general anesthesia. Conclusion: Unilateral adrenal hematomas sometimes are indistinguishable radiologically from neoplasms. Surgery is then necessary to distinguish a hematoma from a hemorrhagic adrenal tumor.

Original languageEnglish (US)
Pages (from-to)995-997
Number of pages3
JournalJournal of Endourology
Volume22
Issue number5
DOIs
StatePublished - May 1 2008

ASJC Scopus subject areas

  • Urology

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