1,114 results match your criteria Adrenal Hemorrhage Imaging


A rare cause of postpartum acute hyponatremia.

Endocrinol Diabetes Metab Case Rep 2019 Mar 15;2019. Epub 2019 Mar 15.

Department of Internal Medicine F, Soroka University Medical Center, Beer Sheva, Israel.

A previously healthy 24-year-old female underwent an emergent caesarean section without a major bleeding described. During the first post-operative days (POD) she complained of fatigue, headache and a failure to lactate with no specific and conclusive findings on head CT. On the following days, fever rose with a suspicion of an obstetric surgery-related infection, again with no evidence to support the diagnosis. Read More

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http://dx.doi.org/10.1530/EDM-18-0124DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432973PMC
March 2019
3 Reads

Acute spontaneous unilateral adrenal hemorrhage: etiology and imaging findings in six cases.

Radiol Bras 2019 Jan-Feb;52(1):12-16

Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil.

Objective: To evaluate the computed tomography characteristics of patients admitted with clinical suspicion of acute adrenal hemorrhage at three centers over a 3-year period and in whom that diagnosis was ultimately confirmed.

Materials And Methods: This was a retrospective analysis of computed tomography findings in patients with suspected acute adrenal hemorrhage. We included only those cases in which the diagnosis was confirmed. Read More

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http://dx.doi.org/10.1590/0100-3984.2018.0041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383530PMC
February 2019
4 Reads

Observation of changes after peripheral retinal injury by cosmetic laser, using wide-field scanning laser ophthalmoscope: A case report.

Authors:
Rae Young Kim Ho Ra

Medicine (Baltimore) 2019 Feb;98(6):e14354

Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Rationale: Increases in cosmetic laser use have led to recent reports of accidental retinal injuries, most of which are limited to the posterior pole. We report a case of peripheral retinal injury caused by a 1064-nm Nd:YAG: neodymium-doped yttrium aluminum garnet.

Patient Concerns: A 27-year-old Asian woman was admitted with scotoma symptoms in her right eye. Read More

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http://dx.doi.org/10.1097/MD.0000000000014354DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380843PMC
February 2019
3 Reads

Multidisciplinary approach for patients with functional and non-functional adrenal masses and review of the literature.

Health Sci Rep 2018 Mar 20;1(3):e22. Epub 2017 Dec 20.

Internal Medicine and Endocrinology, Department of Internal Medicine, Division of Endocrinology Cukurova University Medical Faculty Adana Turkey.

Background: Adrenal incidentalomas are adrenal masses that are discovered by imaging tests performed for other reasons.

Aims: In this retrospective study, we analysed 229 Turkish patients with adrenal masses and who presented with or without complaints.

Study Design: Descriptive retrospective study and review of the literature. Read More

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http://doi.wiley.com/10.1002/hsr2.22
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http://dx.doi.org/10.1002/hsr2.22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266456PMC
March 2018
11 Reads

Addison's disease in antiphospholipid syndrome: a rare complication.

Endocrinol Diabetes Metab Case Rep 2018 22;2018. Epub 2018 Nov 22.

Endocrinology, Diabetes and Metabolism Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Addison's disease (AD) is the most common endocrine manifestation of antiphospholipid syndrome (APS), but it remains a very rare complication of the syndrome. It is caused by adrenal venous thrombosis and consequent hemorrhagic infarction or by spontaneous (without thrombosis) adrenal hemorrhage, usually occurring after surgery or anticoagulant therapy. We present a clinical case of a 36-year-old female patient with a previous diagnosis of APS. Read More

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http://dx.doi.org/10.1530/EDM-18-0118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280132PMC
November 2018
4 Reads

Spontaneous adrenal hematoma in pregnancy: A case report.

Medicine (Baltimore) 2018 Nov;97(47):e13329

Department of Radiology.

Rational: Spontaneous adrenal hematoma in pregnancy is a very rare condition. Herein we present an additional rare case of unilateral spontaneous adrenal hematoma in a pregnant woman, aiming to share this experience and summarize the signal characteristics of simple adrenal hematoma in magnetic resonance imaging (MRI).

Patient Concerns: A 28-year old pregnant woman was referred to our hospital with a vague paroxysmal left-side back pain at 17 weeks of gestation. Read More

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http://dx.doi.org/10.1097/MD.0000000000013329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392740PMC
November 2018
40 Reads

Adrenal cavernous hemangioma: a case report.

BMC Surg 2018 Nov 20;18(1):103. Epub 2018 Nov 20.

Department of Clinical and Experimental Medicine, Unit of General Surgery 2, University of Sassari, Sassari, Italy.

Background: Adrenal cavernous hemangiomas are very rare benign tumors that usually present as incidental findings on abdominal imaging. Preoperative differential diagnosis from other benign or malignant adrenal neoplasms may be challenging.

Case Presentation: A 70-year old man was referred for an 8-cm abdominal mass incidentally discovered on a contrast-enhanced computed tomography (CT) performed to investigate a pulmonary nodule. Read More

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http://dx.doi.org/10.1186/s12893-018-0429-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247755PMC
November 2018
17 Reads

Antiglomerular Basement Membrane Disease.

Semin Respir Crit Care Med 2018 08 7;39(4):494-503. Epub 2018 Nov 7.

Department of Medicine, Centre for Inflammatory Disease, Imperial College London, London, United Kingdom.

Antiglomerular basement membrane (anti-GBM) disease is a rare but life-threatening autoimmune vasculitis that is characterized by the development of pathogenic autoantibodies to type IV collagen antigens expressed in the glomerular and alveolar basement membranes. Once deposited in tissue, these autoantibodies incite a local capillaritis which manifests as rapidly progressive glomerulonephritis (GN) in 80 to 90% of patients, and with concurrent alveolar hemorrhage in ∼50%. A small proportion of cases may present with pulmonary disease in isolation. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669413
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http://dx.doi.org/10.1055/s-0038-1669413DOI Listing
August 2018
14 Reads

CT and MRI of adrenal gland pathologies.

Quant Imaging Med Surg 2018 Sep;8(8):853-875

Department of Radiology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China.

Besides ultrasound and nuclear medicine techniques, computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used to examine adrenal lesions in both symptomatic and asymptomatic patients. Some adrenal lesions have characteristic radiological features. If an adrenal nodule is discovered incidentally, determining whether the lesion is benign or malignant is of great importance. Read More

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http://qims.amegroups.com/article/view/21428/21140
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http://dx.doi.org/10.21037/qims.2018.09.13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177362PMC
September 2018
23 Reads

The first case of thrombocytopenia, anasarca, fever, renal impairment or reticulin fibrosis, and organomegaly (TAFRO) syndrome with unilateral adrenal necrosis: a case report.

J Med Case Rep 2018 Oct 8;12(1):295. Epub 2018 Oct 8.

Department of General Internal Medicine, Musashino Red Cross Hospital, Tokyo, Japan.

Background: TAFRO syndrome, which was first reported in 2010 in Japan, is a relatively rare disease characterized by thrombocytopenia, anasarca, fever, renal impairment, reticulin fibrosis, and organomegaly. Although this disease is considered similar to multicentric Castleman disease, some of the clinical features, such as thrombocytopenia, are different from typical cases of multicentric Castleman disease. In addition, the etiology of TAFRO syndrome remains unknown and controversial. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1814-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174561PMC
October 2018
4 Reads

Does Urinary Tract Ultrasound Have Its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report.

Acta Clin Croat 2018 Mar;57(1):161-165

Department of Pediatrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Adrenal hemorrhage is a rare clinical entity in the neonatal period, with an incidence of 1.7-2.1/1000 births. Read More

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http://dx.doi.org/10.20471/acc.2018.57.01.21DOI Listing
March 2018
4 Reads

Anatomic site and etiology of hemorrhage in small versus large dogs with spontaneous hemoperitoneum.

Vet Surg 2018 Nov 23;47(8):1031-1038. Epub 2018 Sep 23.

Department of Surgical and Radiological Sciences, University of California-Davis, Davis, California.

Objective: To compare anatomic sources and underlying etiology of hemorrhage in small vs large dogs with spontaneous hemoperitoneum (SH).

Study Design: Retrospective cross-sectional study.

Animals: Client-owned dogs with SH at 2 academic institutions. Read More

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http://doi.wiley.com/10.1111/vsu.12963
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http://dx.doi.org/10.1111/vsu.12963DOI Listing
November 2018
35 Reads
1.041 Impact Factor

Immune-Thrombotic Thrombocytopenic Purpura is a Rare Cause of Ischemic Stroke in Young Adults: Case Reports and Literature Review.

J Stroke Cerebrovasc Dis 2018 Nov 12;27(11):3163-3171. Epub 2018 Sep 12.

Department of Neurology, CHU de Bordeaux, Bordeaux, France / Except Yahsou Delmas: Department of Nephrology, CHU de Bordeaux, Bordeaux, France.

Introduction: Immune thrombotic thrombocytopenic purpura (i-TTP), related to acquired ADAMTS-13 dysfunction, can lead to various neurological symptoms including ischemic stroke. To date the clinical, radiological, and biological characteristics of patients having a stroke as the inaugural manifestation of i-TTP are largely unknown.

Methods: Probable immune-TTP was defined by a low ADAMTS-13 activity associated with the presence of ADAMTS-13 inhibitors and/or favorable clinicobiological response under immunological treatments. Read More

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.07.017DOI Listing
November 2018
3 Reads

Fluconazole as a Safe and Effective Alternative to Ketoconazole in Controlling Hypercortisolism of Recurrent Cushing's Disease: A Case Report.

Int J Endocrinol Metab 2018 Jul 25;16(3):e65233. Epub 2018 Jun 25.

The Diabetes and Endocrine Unit, Department of Medicine, National University of Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Introduction: Ketoconazole has long been the first-line medical therapy for controlling hypercortisolism secondary to either pituitary or adrenal pathology. However, it is largely unavailable in most countries. As a result, we have turned to fluconazole as a viable alternative in view of its favourable safety profile. Read More

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http://dx.doi.org/10.5812/ijem.65233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119209PMC
July 2018
5 Reads

The Influence of Antiplatelet Drug Medication on Spine Surgery.

Clin Orthop Surg 2018 Sep 22;10(3):380-384. Epub 2018 Aug 22.

Department of Orthopedics, Seoul Sacred Heart General Hospital, Seoul, Korea.

Background: The incidence of cardiovascular and neurovascular diseases has been increasing with the aging of the population, and antiplatelet drugs (APDs) are more frequently used than in the past. With the average age of spinal surgery patients also increasing, there has been a great concern on the adverse effects of APD on spine surgery. To our knowledge, though there have been many studies on this issue, their results are conflicting. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2018.1
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http://dx.doi.org/10.4055/cios.2018.10.3.380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107813PMC
September 2018
10 Reads

Bilateral adrenal hemorrhage in antiphospholipid syndrome. Anticoagulation for the treatment of hemorrhage.

Saudi Med J 2018 Aug;39(8):829-833

Department of Internal Medicine, King Fahad Military Medical Complex, Dhahran, Kingdom of Saudi Arabia. E-mail.

A 43-year-old man with Hashimoto's thyroiditis and previous thromboembolic events treated with warfarin for 6 months, presented with right flank pain accompanied with vomiting, dizziness, and altered mental status 2 weeks after discontinuation of warfarin. His clinical examination findings were unremarkable. Routine blood work showed lymphopenia, thrombocytopenia, and hypoosmolar hyponatremia. Read More

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http://dx.doi.org/10.15537/smj.2018.8.22437DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194995PMC
August 2018
6 Reads

CT and F- FDG-PET-CT Findings in Secondary Adrenal Lymphoma with Pathologic Correlation.

Acad Radiol 2018 Jul 31. Epub 2018 Jul 31.

Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030-4008.

Rationale And Objective: To evaluate computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) imaging manifestations of lymphomas secondarily involving the adrenal gland.

Materials And Methods: Seven patients (Five men, two women; median age [range], 66 years [34-75 years]) with pathologically proven adrenal lymphoma were assessed retrospectively. Clinical findings, prior history of lymphoproliferative malignancy, CT (n = 7) and fludeoxyglucose positron emission tomography-computed tomography (F-FDG-PET-CT) (n = 6) features were analyzed. Read More

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http://dx.doi.org/10.1016/j.acra.2018.06.025DOI Listing
July 2018
9 Reads

Influence of Hemostatic Agents in the Prognosis of Periapical Surgery: A Randomized Study of Epinephrine versus Aluminum Chloride.

J Endod 2018 Aug;44(8):1205-1209

Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Valencia, Spain.

Introduction: Several variables have been associated with a better prognosis of periapical surgery. The aim of this study was to evaluate the influence of 2 hemostatic agents on the prognosis of periapical surgery at 12 months.

Methods: A prospective study was designed with 2 randomized parallel groups established depending on the hemostatic agent used: epinephrine or aluminum chloride. Read More

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http://dx.doi.org/10.1016/j.joen.2018.03.013DOI Listing
August 2018
3 Reads

Practical Approach to Adrenal Imaging.

Urol Clin North Am 2018 Aug;45(3):365-387

Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street Unit 1473, Houston, TX 77030, USA.

Various pathologies can affect the adrenal gland. Noninvasive cross-sectional imaging is used for evaluating adrenal masses. Accurate diagnosis of adrenal lesions is critical, especially in cancer patients; the presence of adrenal metastasis changes prognosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.03.005DOI Listing
August 2018
20 Reads

The Respiratory System in Autoimmune Vascular Diseases.

Respiration 2018;96(1):12-28. Epub 2018 Jul 4.

Hospices Civils de Lyon, Department of Respiratory Medicine, National Reference Center for Rare Pulmonary Diseases, Lyon, France.

The respiratory system may be involved in all types of systemic vasculitis with varying significance and frequency. ANCA-associated vasculitis, including granulomatosis with polyangiitis, eosinophilic granulomatosis with polyangiitis, and microscopic polyangiitis, affects the respiratory tract more commonly than other vasculitis types. Granulomatosis with polyangiitis is always associated with upper or lower respiratory tract involvement. Read More

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http://dx.doi.org/10.1159/000486899DOI Listing
December 2018
33 Reads

Giant adrenal pseudocyst: A rare diagnosis.

J Med Imaging Radiat Oncol 2018 Oct 4;62(5):665-667. Epub 2018 Jul 4.

Department of Radiology, University Hospital Bristol, Bristol, UK.

We present a rare case of giant adrenal pseudocyst as a cause of right upper quadrant (RUQ) pain and highlight the typical multimodality imaging features. The case demonstrates the imaging features associated with giant adrenal pseudocysts to aid accurate and timely diagnosis. Despite the rarity of these lesions they are important to consider as benign lesions can closely mimic malignant ones. Read More

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http://dx.doi.org/10.1111/1754-9485.12755DOI Listing
October 2018
23 Reads

Spontaneous adrenal hemorrhage. Report of two cases and review of pathogenesis, diagnosis and management.

J Surg Case Rep 2018 Jun 11;2018(6):rjy129. Epub 2018 Jun 11.

Department of Surgical Oncology, Heraklion University Hospital, Crete, Greece.

Adrenal hemorrhage represents a relatively rare condition, usually associated with meningococcal septicemia. It is an underestimated cause of acute decompensation, multiorgan failure and death, usually diagnosed post-mortem. Depending on its etiology adrenal hemorrhage is categorized as traumatic and non-traumatic. Read More

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http://dx.doi.org/10.1093/jscr/rjy129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007599PMC
June 2018
11 Reads

[Minor stroke in a patient with thrombocytopenia].

Rev Neurol 2018 05;66(10):359-360

Fundacion Jimenez Diaz, 28040 Madrid, Espana.

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MANAGEMENT OF ENDOCRINE DISEASE: Differential diagnosis, investigation and therapy of bilateral adrenal incidentalomas.

Eur J Endocrinol 2018 Aug 10;179(2):R57-R67. Epub 2018 May 10.

Division of Endocrinology, Department of Medicine, Centre de recherche du Centre hospitalier de l'Université de Montréal (CRCHUM), Université de Montréal, Montréal, Canada.

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

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http://dx.doi.org/10.1530/EJE-18-0296DOI Listing
August 2018
56 Reads

Perinatal Brain Injury: Mechanisms, Prevention, and Outcomes.

Clin Perinatol 2018 06 21;45(2):357-375. Epub 2018 Mar 21.

Integrated Research Center for Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Phipps 228, Baltimore, MD 21287-4922, USA; Neuroscience Intensive Care Nursery Program, Department of Pediatrics, Division of Neonatal-Perinatal Medicine, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD 21287-4922, USA; Department of Neurology, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD 21287-4922, USA. Electronic address:

Perinatal brain injury may lead to long-term morbidity and neurodevelopmental impairment. Improvements in perinatal care have resulted in the survival of more infants with perinatal brain injury. The effects of hypoxia-ischemia, inflammation, and infection during critical periods of development can lead to a common pathway of perinatal brain injury marked by neuronal excitotoxicity, cellular apoptosis, and microglial activation. Read More

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http://dx.doi.org/10.1016/j.clp.2018.01.015DOI Listing
June 2018
4 Reads

Pituitary apoplexy following lumbar fusion surgery in prone position: A case report.

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

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http://dx.doi.org/10.1097/MD.0000000000010676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959393PMC
May 2018
4 Reads

Bilateral adrenal hemorrhage as a manifestation of extramedullary hematopoiesis in a patient with primary myelofibrosis.

Ann Hematol 2018 Oct 1;97(10):2011-2012. Epub 2018 May 1.

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

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http://link.springer.com/10.1007/s00277-018-3352-3
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http://dx.doi.org/10.1007/s00277-018-3352-3DOI Listing
October 2018
10 Reads

A case report of symptomatic presacral myelolipoma.

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

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http://dx.doi.org/10.1097/MD.0000000000010337DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908593PMC
April 2018
5 Reads

An unusual case of hematemesis and epistaxis caused by a pheochromocytoma.

J Int Med Res 2018 Jun 26;46(6):2470-2473. Epub 2018 Mar 26.

6 Department of Medical Biochemistry (Firat Hormones Research Group), School of Medicine, Firat University, Elazig, Turkey.

Pheochromocytoma is a rare catecholamine-secreting neoplasm that is the cause of hypertension in <0.2% of patients with hypertension. We encountered an unusual case of pheochromocytoma involving hematemesis and epistaxis episodes with accompanying hypertensive attacks. Read More

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http://dx.doi.org/10.1177/0300060518765015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023036PMC
June 2018
5 Reads

Unilateral adrenal hematoma with associated giant mass: a report of two cases.

Authors:
Yoshitaka Uji

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

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http://dx.doi.org/10.1080/00015458.2018.1453440DOI Listing
March 2018
7 Reads

[Adrenal myelolipoma: about a case].

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

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http://dx.doi.org/10.11604/pamj.2017.28.153.13035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847186PMC
March 2018
9 Reads

Routine CT scanning of patients retrieved to a tertiary centre on veno-venous extracorporeal membrane oxygenation: a retrospective risk benefit analysis.

Perfusion 2018 09 12;33(6):438-444. Epub 2018 Mar 12.

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

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http://dx.doi.org/10.1177/0267659118763266DOI Listing
September 2018
11 Reads

[The 461th case: fever, hematuria, and right lumbar pain].

Zhonghua Nei Ke Za Zhi 2018 Mar;57(3):229-232

Department of Rheumatology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

A 56-year-old female was admitted to the Department of Rheumatology, Peking Union Medical College Hospital with complaint of recurrent fever and acute lumbar pain. Fever was complicated with malaise, cough and occasional blood-streaked sputum. Lab tests showed elevated white blood cell count, increased serum creatinine, erythrocyte sedimentation rate and C-reactive protein. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1426.2018.03.017DOI Listing
March 2018
6 Reads

Recurrent epistaxis leading to diagnosis of primary sinonasal melanoma.

BMJ Case Rep 2018 Feb 16;2018. Epub 2018 Feb 16.

Internal Medicine, Saint Joseph Mercy Ann Arbor Hospital, Ypsilanti, Michigan, USA.

A 48-year-old man presented to urgent care with recurrent epistaxis over 6 months. Initially, nosebleeds were controlled with packing or cautery. Ultimately, he was referred to ear, nose and throat department and underwent nasal endoscopy which revealed polypoid tissue. Read More

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http://dx.doi.org/10.1136/bcr-2017-219832DOI Listing
February 2018
5 Reads

Acute Nonhemorrhagic Adrenal Infarction in Pregnancy: 10-Year MRI Incidence and Patient Outcomes at a Single Institution.

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

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http://dx.doi.org/10.2214/AJR.17.18739DOI Listing
April 2018
8 Reads

Large vessel stroke as initial presentation of thrombotic thrombocytopenic purpura.

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

Hematology-Oncology, Monter Cancer Center, Northwell Health, Lake Success, New York, USA.

A 67-year-old right-handed woman presented with dysarthria, left upper extremity weakness and right-sided neglect of 3 hours duration. Imaging of the brain revealed acute right middle cerebral artery stroke; however, tissue plasminogen activator could not be administered due to severe thrombocytopenia. A peripheral smear revealed schistocytes and the patient was treated empirically for thrombotic thrombocytopenic purpura (TTP) with therapeutic plasma exchange. Read More

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http://dx.doi.org/10.1136/bcr-2017-221857DOI Listing
February 2018
1 Read

Neurofibromatosis type 1: a case highlighting pulmonary and other rare clinical manifestations.

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

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http://dx.doi.org/10.1136/bcr-2017-222614DOI Listing
January 2018
7 Reads

Painless Scrotal Hematoma as a Sign of Adrenal Hemorrhage in Newborns.

J Pediatr 2018 03 1;194:257-257.e1. Epub 2018 Feb 1.

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

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http://dx.doi.org/10.1016/j.jpeds.2017.11.054DOI Listing
March 2018
2 Reads

Long-term efficacy of partial splenic embolization for the treatment of steroid-resistant chronic immune thrombocytopenia.

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

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http://dx.doi.org/10.1007/s00277-018-3232-xDOI Listing
April 2018
20 Reads

Bilateral Adrenal Hemorrhage in a Patient with Antiphospholipid Syndrome during Chronic Graft-versus-host Disease.

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

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http://dx.doi.org/10.2169/internalmedicine.9820-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995706PMC
May 2018
7 Reads

Isolated unilateral adrenal gland hemorrhage following motor vehicle collision: a case report and review of the literature.

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

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http://dx.doi.org/10.1186/s13256-017-1506-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742871PMC
December 2017
16 Reads

A rare cause of neonatal persistent jaundice.

BMJ Case Rep 2017 Dec 22;2017. Epub 2017 Dec 22.

Department of Paediatric Endocrinology, Diabetes and Growth, Hospital Pediátrico de Coimbra, Coimbra, Portugal.

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http://dx.doi.org/10.1136/bcr-2017-223306DOI Listing
December 2017
9 Reads

Pulmonary tumor thrombotic microangiopathy successfully treated with corticosteroids: a case report.

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

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http://dx.doi.org/10.1186/s13256-017-1524-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741930PMC
December 2017
6 Reads

Eosinophilic granulomatosis with polyangiitis: myocardial thickening reversed by corticosteroids.

BMC Cardiovasc Disord 2017 Dec 20;17(1):299. Epub 2017 Dec 20.

Centre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden.

Background: In 1951 Churg and Strauss first described the clinical condition now known as eosinophilic granulomatosis with polyangiitis (EGPA), characterized by asthma, nasal polyposis, rhinosinusitis, hypereosinophilia with organ infiltration, and necrotizing vasculitis. It is classified as an antineutrophil cytoplasmic antibody (ANCA) associated vasculitis, but ANCA negativity is common and more frequently encountered in EGPA with myocardial involvement. Long-term survival has substantially improved with corticosteroid treatment but myocardial involvement is still the leading cause of death in EGPA. Read More

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http://dx.doi.org/10.1186/s12872-017-0734-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738832PMC
December 2017
6 Reads

Primary atrial fibromyxosarcoma with multiple-system metastases: A case report.

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

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http://dx.doi.org/10.1097/MD.0000000000008930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728873PMC
December 2017
31 Reads

Evaluation and Management of Blunt Solid Organ Trauma.

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

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http://dx.doi.org/10.1053/j.tvir.2017.10.001DOI Listing
December 2017
9 Reads

A rare case of Waterhouse- Friderichsen syndrome during primary Varicella zoster infection.

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

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October 2017
1 Read

Fetal adrenal gland enlargement - prenatal and postnatal management.

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

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November 2017
15 Reads

Use of a levonorgestrel-releasing intrauterine device for menorrhagia treatment during adjuvant therapy of adrenocortical carcinoma with mitotane.

Ginekol Pol 2017 ;88(10):576-577

3rd Chair and Department of Gynecology Medical University in Lublin, Jaczewskiego 8, 20-954, Lublin, Poland.

Adrenocortical carcinoma is a rare tumour with high malignancy and poor prognosis. This tumour is rarely diagnosed in the reproductive age. Complete surgical resection is the only curative treatment for adrenal cancer in all stages. Read More

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http://dx.doi.org/10.5603/GP.a2017.0104DOI Listing
July 2018
23 Reads

A case report of primary adrenal angiosarcoma as depicted on magnetic resonance imaging.

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

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http://dx.doi.org/10.1097/MD.0000000000008551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690763PMC
November 2017
7 Reads