Eur J Endocrinol 2018 May 10. Epub 2018 May 10.

A Lacroix, Medicine, CHUM, Montreal, H2W1T8, Canada.

The investigation and management of unilateral adrenal incidentalomas have been extensively considered in the last decades. While bilateral adrenal incidentalomas represent about 15 percent of adrenal incidentalomas, they have been less frequently discussed. The differential diagnosis of bilateral incidentalomas includes metastasis, primary bilateral macronodular adrenal hyperplasia (BMAH) and bilateral cortical adenomas. Read More

Medicine (Baltimore) 2018 May;97(19):e0676

Department of Anesthesia and Pain Medicine, Incheon St. Mary's hospital, College of Medicine, The Catholic University of Korea, Incheon, Republic of Korea.

Rationale: Pituitary apoplexy (PA) is a syndrome caused by acute hemorrhage or infarction of the pituitary gland, generally within a pituitary adenoma. PA following spinal surgery is a very rare complication and may be difficult to diagnose. However, early diagnosis of PA is essential for the timely treatment of pan-hypopituitarism and prevention of severe neurologic complications. Read More

Ann Hematol 2018 May 1. Epub 2018 May 1.

Department of Internal Medicine, Section of Hematology and Medical Oncology, University of Manitoba, Winnipeg, R3A 1R9, Manitoba, Canada.

Horm Res Paediatr 2018 Apr 25:1-7. Epub 2018 Apr 25.

Department of Pediatrics, Division of Pediatric Endocrinology and Diabetes, University Hospital of Schleswig-Holstein, UKSH, Campus Kiel/Christian Albrecht University of Kiel, CAU, Kiel, Germany.

We present a boy with a genetically proven congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. While massively elevated 17-hydroxyprogesterone (17-OHP) concentrations after birth led to the diagnosis, 17-OHP concentrations became immeasurable starting with the second year of life even though the dose of hydrocortisone was continuously decreased to ∼7 mg/m2/day. Furthermore, 17-OHP levels were immeasurable during the ACTH test and after withdrawing hydrocortisone medication. Read More

J Heart Lung Transplant 2018 Mar 17. Epub 2018 Mar 17.

Department of Pediatrics and Adolescent Medicine, Division of Pediatric Hematology and Oncology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Background: Bleeding contributes to the high mortality of venovenous extracorporeal membrane oxygenation (vvECMO). The development of acquired von Willebrand syndrome (AVWS) has been identified as relevant pathology during ECMO. This study was performed to determine the onset of AVWS after implantation and the recovery of von Willebrand factor (VWF) parameters after explantation of ECMO in a large cohort of patients. Read More

Medicine (Baltimore) 2018 Apr;97(15):e0337

Division of Gastroenterology and Hepatology, MedStar Georgetown University Hospital.

Rationale: Extra-adrenal myelolipoma in the presacral area often raises a concern for liposarcoma because they have similar radiologic features.

Patient Concerns: A 70-year-old woman with multiple abdominal surgeries in the past presented with persistent lower abdominal pain and anemia. A presacral mass, found on a pelvic magnetic resonance image (MRI), was suspicious of liposarcoma, as it is the most common fat containing mass in the presacral area. Read More

Clin Case Rep 2018 Apr 21;6(4):658-663. Epub 2018 Feb 21.

Texas Tech University Health Sciences CenterOdessaTexas.

Abnormal adrenal findings such as hemorrhage or calcifications in the neonate can stem from a variety of etiologies. Clinical presentation can vary significantly based on the degree of hemorrhage or the associated condition. Thorough work-up is important to rule out critical underlying conditions as well as adrenal insufficiency. Read More

Pediatr Transplant 2018 Apr 6:e13173. Epub 2018 Apr 6.

Department of Transplantation, St James's University Hospital, Leeds, UK.

EKT from neonatal donors remains rare despite successful outcome being reported. The surgical aspects of neonatal abdominal organ recovery remain unfamiliar to the vast majority of abdominal organ recovery teams and renal transplant surgeons. BAH is not uncommon in newborn babies suffering distress in the perinatal period. Read More

BMJ Case Rep 2018 Apr 5;2018. Epub 2018 Apr 5.

Division of Cardiology, Department of Medicine, Johns Hopkins Hospital and Health System, Baltimore, Maryland, USA.

We describe the case of a 67-year-old man presenting with ventricular tachycardia (VT) and systolic heart failure secondary to a left adrenal phaeochromocytoma. After treatment with amiodarone, the patient's VT resolved. However, his course was complicated by femoral deep venous thrombosis secondary to an incidentally discovered dedifferentiated liposarcoma of the thigh, for which he was prescribed a course of enoxaparin. Read More

Adv Clin Exp Med 2018 Mar 27. Epub 2018 Mar 27.

Department of Endocrinology and Internal Diseases, Medical University of Gdańsk, Poland.

Background: Adrenal hemorrhage (AH) is a rare condition that can lead to acute adrenal insufficiency and may be fatal. The risk factors of AH include focal adrenal lesion, abdominal trauma and anticoagulation therapy. The clinical manifestation of AH varies widely; the symptoms may be related to adrenal insufficiency or may reflect multiple organ failure. Read More

Acta Chir Belg 2018 Mar 21:1-5. Epub 2018 Mar 21.

a Department of Gastrointestinal Surgery , Shin-Koga Hospital , Fukuoka , Japan.

Background: Adrenal hematoma is a rare yet potentially life-threatening event that occurs both in traumatic conditions and in a variety of nontraumatic conditions. In the present study, we report the two cases with idiopathic unilateral adrenal hematoma.

Case Presentation: Case 1 involved a 72-year-old man who was complaining of upper abdominal pain. Read More

J Gastrointestin Liver Dis 2018 Mar;27(1):93-99

Carol Davila University of Medicine and Pharmacy; Dr. Carol Davila Central Military Emergency University Hospital, Bucharest, Romania.

Background And Aims: Celiac disease (CD) presents with a wide spectrum of extra-digestive symptoms, including hemorrhagic manifestations. The aim of this review was to conduct an extensive analysis of the hemorrhagic events reported in adult CD patients.

Methods: Case report and review of the literature. Read More

Pan Afr Med J 2017 18;28:153. Epub 2017 Oct 18.

Service d'Endocrinologie Diabétologie Maladies Métaboliques et Nutrition, Laboratoire PCIM, FMPM, Université Cadi Ayyad, CHU Mohamed VI, Marrakech.

Adrenal myelolipoma is a rare benign non secreting tumor. It is often unexpectedly detected. Pathophysiologically, it is adrenal cortex cell metaplasia into reticuloendothelial cells, resulting from infection, chronic stress or adrenal gland degeneration. Read More

Perfusion 2018 Mar 1:267659118763266. Epub 2018 Mar 1.

1 Department of Intensive Care, Royal Brompton Hospital, London, UK.

Introduction: Comprehensive clinical examination can be compromised in patients on veno-venous extracorporeal membrane oxygenation (VV-ECMO). Adjunctive diagnostic imaging strategies range from bedside imaging only to routine computed tomography (CT). The risk-benefit of either approach remains to be evaluated. Read More

Case Rep Endocrinol 2018 4;2018:2353172. Epub 2018 Jan 4.

Division of Endocrinology, Diabetology and Metabolism, Santa Croce e Carle Hospital, Via M. Coppino 26, 12100 Cuneo, Italy.

Adrenal insufficiency is a potentially life-threatening condition when it occurs acutely, as in adrenal hemorrhage. Generally it is not reversible and requires chronic replacement therapy. Acute intermittent porphyria (AIP) is a rare genetic disease characterized by alterations in heme biosynthesis that result in accumulation of precursors in tissues. Read More

Endocrinol Diabetes Metab Case Rep 2018 20;2018. Epub 2018 Feb 20.

Pediatrics and Radiology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.

Bilateral adrenal hemorrhages rarely occur during the neonatal period and are often associated with traumatic vaginal deliveries. However, the adrenal gland has highly regenerative capabilities and adrenal insufficiency typically resolves over time. We evaluated a newborn female after experiencing fetal macrosomia and a traumatic vaginal delivery. Read More

Minerva Endocrinol 2018 Feb 19. Epub 2018 Feb 19.

Department of Neurosurgery, University of Tübingen, Tübingen, Germany.

Pregnancy-related hypophysitis (PR-Hy) that typically occurs during late pregnancy and the early postpartum period is considered an autoimmune disorder. Knowledge and awareness of characteristic clinical symptoms and specific endocrine and neuroradiological features mostly enables a correct diagnosis and guarantees best possible management. In the presence of mild clinical symptoms, a "wait and watch" policy is recommended. Read More

AJR Am J Roentgenol 2018 Apr 15;210(4):785-791. Epub 2018 Feb 15.

1 Department of Radiology, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

Objective: The purpose of this study was to retrospectively investigate the MRI incidence of nonhemorrhagic adrenal infarction in pregnant women undergoing MRI evaluation of acute abdominal or flank pain, assess the MRI features quantitatively, and report patient outcomes.

Materials And Methods: All abdominal MRI examinations of pregnant women with acute pain at one institution from May 2005 to April 2015 were reviewed. The adrenals were evaluated for abnormal morphologic and signal intensity characteristics described in the literature characterizing nonhemorrhagic adrenal infarction and were compared with the contralateral adrenal by paired t tests. Read More

Cochrane Database Syst Rev 2018 02 6;2:CD008806. Epub 2018 Feb 6.

Division of Infection and Immunity, University College London, Gower Street, London, UK, WC1E 6BT.

Background: Every day children and adults die from acute community-acquired bacterial meningitis, particularly in low-income countries, and survivors risk deafness, epilepsy and neurological disabilities. Osmotic therapies may attract extra-vascular fluid and reduce cerebral oedema, and thus reduce death and improve neurological outcomes.This is an update of a Cochrane Review first published in 2013. Read More

J Med Primatol 2018 Apr 5;47(2):132-135. Epub 2018 Feb 5.

National Institute for Food and Drug Control, National Center for Safety Evaluation of Drugs, Beijing Key Lab for Pre-clinical Safety Evaluation of Drugs, Beijing, China.

This report describes a suppurative meningitis in a young cynomolgus. The animal had neutrophil aggregation in the subarachnoid space and hemorrhage in bilateral adrenal glands. Staphylococcus was identified by FISH in brain. Read More

Shock 2018 Feb 1. Epub 2018 Feb 1.

Division of Gastroenterology, Department of Medicine, Cheng Hsin General Hospital, Taipei, Taiwan.

Critical illness is accompanied by hypothalamic-pituitary-adrenal axis activation, but adrenal insufficiency characterized by inadequate glucocorticoid synthesis is common in critically ill cirrhotic patients, the 'hepato-adrenal syndrome'. Adrenal cortex also synthesizes androgen (dehydroepiandrosterone, DHEA). DHEA maintains microcirculation by enhancing vascular endothelial nitric oxide synthase (eNOS) activity. Read More

J Indian Assoc Pediatr Surg 2018 Jan-Mar;23(1):42-44

Department of Urology, Muljibhai Patel Urological Institute, Nadiad, Gujarat, India.

Fetal and neonatal adrenal glands are large vascular organs, which make them vulnerable to frequent bleeding. Although neonatal adrenal hemorrhage is commonly reported, it is rarely diagnosed on antenatal sonography. We present a rare case of prenatally diagnosed bilateral adrenal hemorrhage, which mimicked antenatal neuroblastoma. Read More

BMJ Case Rep 2018 Jan 31;2018. Epub 2018 Jan 31.

Department of Medicine, Pulmonary Critical Care and Sleep Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, USA.

Neurofibromatosis type 1 (NF1)-related lung disease is a rare but increasingly recognised, high morbidity associated feature of the condition. We present a 48-year-old male patient with NF1, who was initially admitted for a subarachnoid haemorrhage requiring aneurysmal coil embolisation. During his recovery, he developed a left-sided pneumothorax requiring chest tube placement followed by concerns for re-expansion pulmonary oedema requiring intubation. Read More

Oxf Med Case Reports 2018 Jan 23;2018(1):omx090. Epub 2018 Jan 23.

Department of Internal Medicine, SBH Health System, Bronx, NY 10457,USA.

Intramural duodenal hematoma (IDH) is a rare complication in endoscopic management of ulcer hemorrhage. Usually noted in cases of blunt abdominal trauma, non-traumatic IDHs have been reported in individuals on anticoagulation, with blood disorders, pancreatic diseases and in endoscopic procedures such as biopsy, sclerotherapy and argon plasma coagulation. Patients may be asymptomatic or present with acute blood loss anemia, abdominal pain or vomiting. Read More

J Pediatr 2018 Mar 1;194:257-257.e1. Epub 2018 Feb 1.

Division of Neonatology Tepecik Training and Research Hospital İzmir, Turkey.

Ann Hematol 2018 Apr 13;97(4):655-662. Epub 2018 Jan 13.

Department of Hematology, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan.

Thrombopoietin-receptor agonists have been recently introduced for a second-line treatment of immune thrombocytopenia (ITP). Splenectomy has tended to be avoided because of its complications, but the response rate of splenectomy is 60-80% and it has still been considered for steroid-refractory ITP. We performed partial splenic embolization (PSE) as an alternative to splenectomy. Read More

Indian J Endocrinol Metab 2017 Nov-Dec;21(6):932-933

Department of Rheumatology, Shalby Hospital, Ahmedabad, Gujarat, India.

Intern Med 2018 May 27;57(10):1439-1444. Epub 2017 Dec 27.

Department of Hematology/Oncology, Japan Community Health Care Organization (JCHO) Kyushu Hospital, Japan.

We present the case of a 56-year-old man with an upper respiratory infection followed by fatigue, hypotension, and hyponatremia. Bilateral adrenal hemorrhage was confirmed, based on T2-weighted magnetic resonance imaging. The patient had previously undergone allogeneic hematopoietic stem cell transplantation and had been diagnosed with antiphospholipid syndrome (APS) during the development of chronic graft-versus-host disease. Read More

J Med Case Rep 2017 Dec 26;11(1):358. Epub 2017 Dec 26.

Department of General Surgery, Henry Ford Wyandotte Hospital, 2333 Biddle Ave, Wyandotte, MI, 48192, USA.

Background: Adrenal gland trauma is a rare condition that typically stems from blunt force trauma, and is associated with multiple organ injuries. Alternatively, isolated adrenal gland trauma is extremely rare, accounting for only 1.5 to 4% of all adrenal trauma cases. Read More

J Med Case Rep 2017 Dec 23;11(1):356. Epub 2017 Dec 23.

Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8560, Japan.

Background: Pulmonary tumor thrombotic microangiopathy is a special type of tumor thromboembolism. We report the case of a patient who developed pulmonary tumor thrombotic microangiopathy with alveolar hemorrhage. Almost all patients with pulmonary tumor thrombotic microangiopathy die within 1 week of the onset of dyspnea; however, the prognosis in this case was better, with 10 weeks of survival from presentation. Read More

Medicine (Baltimore) 2017 Dec;96(49):e8930

aDepartment of Radiation OncologybDepartment of PathologycDepartment of Cardiac Surgery, the First Hospital, China Medical University, Shenyang, China.

Rationale: Fibromyxosarcoma is common in head and neck, vessel, omentum, and reproductive system, with low-grade malignant behavior. However, primary atrial fibromyxosarcoma with highly malignant behavior is extremely rare.

Patient Concerns: A 34-year-old female presented with oppression in the chest, short breath, and onset of headache as initial symptoms. Read More

Ann Endocrinol (Paris) 2018 Feb 11;79(1):48-52. Epub 2017 Dec 11.

Département d'endocrinologie, diabétologie et médecine de la reproduction, hôpital de l'Archet 2, CHU de Nice, 151, route de Saint-Antoine de Ginestière, CS 23079, 06202 Nice cedex 3, France.

J Clin Med Res 2018 Jan 1;10(1):66-71. Epub 2017 Dec 1.

Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, Japan.

Before surgery for primary aldosteronism (PA), localization is evaluated with adrenal vein sampling (AVS). A 56-year-old Japanese woman had a right adrenal mass, hypokalemia, and a high aldosterone/renin ratio. Stress tests confirmed the diagnosis of PA. Read More

APMIS 2018 Feb 13;126(2):166-170. Epub 2017 Dec 13.

Department of Molecular Pathology, Graduate school of Biomedical and Health Sciences Hiroshima University, Hiroshima, Japan.

Pseudomesotheliomatous carcinoma is a malignant tumor that extends along the pleura mimicking malignant mesothelioma. An 81-year-old male patient presented to our hospital with epigastralgia, and abdominal computed tomography (CT) showed a 36-mm tumor in the pancreatic tail. The laboratory data revealed a high leukocyte count (>44 000/μL). Read More

Tech Vasc Interv Radiol 2017 Dec 10;20(4):230-236. Epub 2017 Nov 10.

Division of Interventional Radiology and Image-guided Medicine, Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA.

Trauma is a leading cause of death in patients under the age of 45 and generally associated with a high kinetic energy event such as a motor vehicle accident or fall from extreme elevations. Blunt trauma can affect every organ system and major vascular structure with potentially devastating effect. When we consider abdominal solid organ injury from blunt trauma, we usually think of the liver, spleen, and kidneys. Read More

Neth J Med 2017 Oct;75(8):351-353

Department of Internal Medicine, Haaglanden Medical Centre, The Hague, the Netherlands.

Primary Varicella zoster virus infection in adults is associated with a higher risk of complications when compared with the benign disease course of primary infection during childhood. We present a rare complication of adult primary Varicella zoster in the form of acute, irreversible adrenal insufficiency due to bilateral adrenal haemorrhage, which is also known as the WaterhouseFriderichsensyndrome. Read More

Arch Dis Child Fetal Neonatal Ed 2018 Mar 5;103(2):F173-F176. Epub 2017 Dec 5.

Department of Neonatal Pediatrics, King Edward Memorial Hospital, Perth, Western Australia, Australia.

Antenatal corticosteroid (ANC) use before 25 weeks' gestation is controversial. Our previous systematic review (eight observational studies, n=10 109) showed that ANC exposure was associated with significantly reduced mortality and severe intraventricular haemorrhage (IVH)/periventricular leukomalacia (PVL) in neonates born <25 weeks. We update our review by adding data (n=3334) from a recent study. Read More

Neuro Endocrinol Lett 2017 Nov;38(Suppl1):31-34

St. Elisabeth University of Health and Social Sciences, Bratislava, Slovakia.

Background: The enlargement of suprarenal gland is related to preterm birth and the birth weight. The ultrasound measurement of fetal adrenal gland volume may identify women at risk for impending preterm birth. The aim of our study was to investigate the newborns in the region of western Slovakia followed up due to suprarenal gland enlargement. Read More

Urol Case Rep 2018 Jan 13;16:65-68. Epub 2017 Nov 13.

Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Gong Ti Nan Lu 8, Chaoyang District, 100020, Beijing, China.

Hosp Pract (1995) 2018 Feb 30;46(1):1-4. Epub 2017 Nov 30.

a Department of Orthopaedic Surgery , La Paz University Hospital-IdiPaz , Madrid , Spain.

Introduction: Intra-articular (IA) corticosteroid (CS) injections are commonly used in the treatment of osteoarthritis. However, they are rarely utilized in haemophilic arthropathy. In fact, the efficacy of this method in haemophilic arthropathy is frequently discussed and debated in clinical practice. Read More

Medicine (Baltimore) 2017 Nov;96(45):e8551

aDepartment of Radiology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China bDepartment of Pathology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China cDepartment of Urology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan China.

Rationale: Angiosarcoma is an extremely rare malignant tumor of endothelial origin. The majority of studies reporting angiosarcoma have been concerned with the clinical and pathological aspects, with limited reporting of their imaging findings. To our knowledge, angiosarcoma of the adrenal gland is very rare. Read More

Pharmacol Ther 2018 Apr 9;184:131-144. Epub 2017 Nov 9.

Laboratory of Pharmacology and Molecular Medicine of Central Nervous System, Department of Biology and Biotechnology, University of Pavia, Italy.

Depression, the most frequent psychiatric disorder following ischaemic stroke, negatively affects survivals' functional outcome, response to rehabilitation and quality of life. Approximately, one-third of them are affected by post-stroke depression (PSD), making it a serious social and public health problem and anti-depressant preventive and curative therapies worth investigating. However, a two-way association between depression and stroke has been also established: stroke increases the risk of PSD, but depression is an independent risk factor for stroke. Read More

Endosc Int Open 2017 Nov 8;5(11):E1119-E1127. Epub 2017 Nov 8.

EC2M3: Department of Academic Research (EA7375) Université Paris Est Créteil (UPEC) - Val de Marne, France.

Background And Study Aims:  Urgent endoscopy is often used to diagnose and sometimes treat acute upper gastrointestinal syndromes (hemorrhage, toxic ingestion, and occlusion). However, its suitability concerning the management of lower gastrointestinal conditions in emergency circumstances is controversial.

Patients And Methods:  We studied the role of emergency colonoscopy in diagnosis and treatment of all consecutive patients presenting with acute lower gastrointestinal symptoms referred to our hospital on an emergency basis. Read More

Cardiol Res 2017 Oct 27;8(5):246-253. Epub 2017 Oct 27.

Division of Cardiology, University of South Alabama, Mobile, AL 36617, USA.

Retroperitoneal hemorrhage from iliac artery injury is a potentially serious complication of vascular interventional procedures leading to hemorrhagic shock and death if not diagnosed early and treated promptly. We report a 70-year-old male admitted to our facility with non-ST-elevation myocardial infarction, whose heart catheterization revealed left anterior descending artery (LAD) with 80% proximal, 95% mid and 100% distal disease. The left circumflex and right coronary arteries were 100% occluded proximally and received collaterals from the LAD. Read More

Khirurgiia (Mosk) 2017(10):97-99

Republican Clinical Hospital of Healthcare Ministry of the Republic of Tatarstan, Kazan, Russia.

BMJ 2017 10 26;359:j4476. Epub 2017 Oct 26.

Oral Pathology and Diagnosis, Facultad de Odontología, Universidad de Valparaíso, Chile

Case Rep Gastroenterol 2017 Sep-Dec;11(3):516-525. Epub 2017 Sep 13.

Faculty of Medicine, Universidade de Caxias do Sul, Caxias do Sul, Brazil.

Although extrahepatic metastases from hepatocellular carcinoma (HCC) are present in only 5-15% of cases, they are certainly factors associated with poor prognosis. The main sites include lung, lymph nodes, bones, and adrenal glands, in descending order. Metastasis in the central nervous system is extremely rare, and the incidences vary from 0. Read More

Radiographics 2017 Oct;37(6):1648-1664

From the Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd, Campus Box 8131-MIR, St Louis, MO 63110.

The adrenal glands in children can be affected by a variety of benign lesions. The diagnosis of adrenal lesions can be challenging, but assessment of morphologic changes in correlation with the clinical presentation can lead to an accurate diagnosis. These lesions can be classified by their cause: congenital (eg, discoid adrenal gland, horseshoe adrenal gland, and epithelial cysts), vascular and/or traumatic (eg, adrenal hemorrhage), infectious (eg, granulomatous diseases), enzyme deficiency disorders (eg, congenital adrenal hyperplasia [CAH] and Wolman disease), benign neoplasms (eg, pheochromocytomas, ganglioneuromas, adrenal adenomas, and myelolipomas), and adrenal mass mimics (eg, extralobar sequestration and extramedullary hematopoiesis). Read More

Am J Case Rep 2017 Sep 27;18:1034-1038. Epub 2017 Sep 27.

Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan.

BACKGROUND Adrenal pseudocysts are often discovered incidentally on imaging, but the diagnosis and treatment can be challenging. A case of adrenal pseudocyst with hemorrhage is presented that mimicked a solid tumor on imaging, resulting in adrenalectomy. CASE REPORT A 78-year-old woman was found to have a right adrenal lesion on abdominal imaging. Read More

Rom J Anaesth Intensive Care 2016 Oct;23(2):155-158

Department of Anaesthesia and Intensive Care, Emergency County Hospital, Cluj-Napoca, Romania.

We describe two polytrauma patients without severe head trauma who developed Cerebral Salt Wasting Syndrome (CSWS) during their stay in our ICU with natriuresis, hyponatremia and hypovolemia. Hyponatremia encountered in CSWS and the syndrome of inadequate antidiuretic hormone secretion (SIADH) is a common electrolyte finding in patients with severe head trauma, subarachnoid hemorrhage, malignancy and infections of the central nervous system. CSWS was an unexpected electrolyte finding in our patients with minor head trauma without neurological or neurosurgical problems. Read More