1,240 results match your criteria Adrenal Hemorrhage Imaging


Primary Adrenal Malignant Rhabdoid Tumor in a 14-Year-Old Female: A Case Report and Literature Review.

Int J Surg Pathol 2021 Jun 9:10668969211024331. Epub 2021 Jun 9.

Children's Hospital Los Angeles, Los Angeles, CA, USA.

Malignant rhabdoid tumor (MRT) is a rare, SWItch/sucrose nonfermentable-related matrix-associated actin-dependent regulator of chromatin subfamily B member 1 ()-deficient, aggressive tumor, occurring predominantly in children below 3 years of age. Primary adrenal MRT is extremely rare, with only 3 cases reported in the literature. A previously healthy 14-year-old female presented with left upper quadrant/epigastric abdominal pain. Read More

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Clinicopathological features of sclerosing angiomatoid nodular transformation of the spleen.

Pathol Res Pract 2021 May 24;224:153490. Epub 2021 May 24.

Department of Pathology, the First Medical Center of the Chinese People's Liberation Army (PLA) General Hospital, Beijing, 100083, China. Electronic address:

Purpose: To explore the clinicopathological features of sclerosing angiomatoid nodular transformation (SANT) of the spleen.

Methods: The clinicopathological data of 26 SANT patients were analyzed.

Result: There were 15 men and 11 women, aged 23-62 years (mean: 43. Read More

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Abnormal presentation of haemorrhagic adrenal cyst.

BMJ Case Rep 2021 May 26;14(5). Epub 2021 May 26.

AMU, West Suffolk Hospitals NHS Trust, Bury Saint Edmunds, UK.

An 81-year-old patient presented with fever and lethargy for 3 weeks. There were no other signs or symptoms of infection. Detailed history revealed a fall onto his right flank, prior to the start of fever. Read More

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ST-segment elevation myocardial infarction with normal coronary arteries secondary to anterior communicating cerebral artery aneurysmal rupture: a case report.

Eur Heart J Case Rep 2021 May 5;5(5):ytab168. Epub 2021 May 5.

Department of Cardiology, Kettering General Hospital, NHS, Rothwell Road, Kettering, NN16 8UZ, UK.

Background: Myocardial infarction (MI) with non-obstructive coronary arteries presenting with ST-segment elevation can be challenging. Understanding the cardiac and non-cardiac causes aid in identifying the underlying diagnosis and deciding on the management. Neurological insult resulting in a mismatch of oxygen supply or demand to cardiomyocytes can lead to type 2 MI. Read More

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A Rare Case of Cerebral Venous Thrombosis and Disseminated Intravascular Coagulation Temporally Associated to the COVID-19 Vaccine Administration.

J Pers Med 2021 Apr 8;11(4). Epub 2021 Apr 8.

Department of Medicine of Precision, School of Medicine, "Luigi Vanvitelli" University of Campania, 80147 Naples, Italy.

Globally, at the time of writing (20 March 2021), 121.759.109 confirmed COVID-19 cases have been reported to the WHO, including 2. Read More

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Non-functioning adrenocortical carcinoma.

Radiol Case Rep 2021 Jun 3;16(6):1329-1334. Epub 2021 Apr 3.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

Adrenocortical carcinoma (ACC) is a rare malignancy that arises from the adrenal cortex and can be classified as either non-functioning or functioning. A patient with non-functioning ACC may present no specific symptoms. Imaging analysis can provide some information to a clinician who suspects ACC, such as tumor size, density, washout, necrosis, hemorrhage, and calcification. Read More

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Thrombocytopenia with acute ischemic stroke and bleeding in a patient newly vaccinated with an adenoviral vector-based COVID-19 vaccine.

J Thromb Haemost 2021 Apr 20. Epub 2021 Apr 20.

Department of Clinical Biochemistry, Aarhus University Hospital, Aarhus, Denmark.

We describe the first Danish case of presumed inflammatory and thrombotic response to vaccination with an adenoviral (ChAdOx1) vector-based COVID-19 vaccine (AZD1222). The case describes a 60-year-old woman who was admitted with intractable abdominal pain 7 days after receiving the vaccine. Computed tomography of the abdomen revealed bilateral adrenal hemorrhages. Read More

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Vanishing Adrenal Mass in Pregnancy.

AACE Clin Case Rep 2021 Jan-Feb;7(1):72-74. Epub 2020 Dec 28.

Division of Endocrinology, Diabetes, & Metabolism, Department of Internal Medicine, University of Florida College of Medicine and the Malcom Randall VA Medical Center, Department of Internal Medicine, Division of Endocrinology, Diabetes & Metabolism, Gainesville, Florida.

Objectives: The evaluation of an adrenal mass is challenging. We present the case of a 33-year-old pregnant woman who was found to have an adrenal incidentaloma. Four months after the initial imaging, the mass vanished. Read More

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December 2020

GnRH agonist-associated pituitary apoplexy: a case series and review of the literature.

Pituitary 2021 Apr 9. Epub 2021 Apr 9.

Neuroendocrine Unit, Massachusetts General Hospital and Department of Medicine, Harvard Medical School, 100 Blossom Street, Cox140, Boston, MA, 02114, USA.

Purpose: To examine the clinical presentation and longitudinal outcome of Pituitary Apoplexy (PA) after gonadotropin-releasing hormone agonist (GnRHa) in a series of patients and compare to prior reports.

Methods: A retrospective chart review was performed on seven patients receiving GnRHa who developed PA. Prior reported cases were analyzed. Read More

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Pearls & Oy-sters: Cerebral Microbleeds Caused by Adrenocortical Adenoma-Related Primary Aldosteronism.

Neurology 2021 05 7;96(20):960-962. Epub 2021 Apr 7.

From the Departments of Neurology (S.M.L., S.Y.M.), Endocrinology (Y.J.C.), Ophthalmology (K.L.), Thyroid Endocrinology Surgery (H.K.K.), Cardiology (J.-S.P.), Neurosurgery (Y.C.L.), and Pathology (J.-H.K.), Ajou University School of Medicine; and Department of Medical Sciences (S.M.L.), Graduate School of Ajou University, Suwon, Republic of Korea.

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[Spontaneous adrenal hematomas. Retrospective analysis of 20 cases from a tertiary center].

Rev Med Interne 2021 Jun 26;42(6):375-383. Epub 2021 Mar 26.

Service de médecine interne, hôpital de la Croix-Rousse, hospices civils de Lyon, université Claude-Bernard Lyon 1, Lyon, France; Hospices civils de Lyon, pôle IMER, 69003 Lyon, France; University Lyon, University Claude Bernard Lyon 1, HESPER EA 7425, 69008 Lyon, France. Electronic address:

Introduction: Spontaneous adrenal hemorrhages (AH) are a rare condition with no consensus about their management.

Methods: Patients were identified using the Medicalization of the Information System Program database, imaging software and a call for observations to internists, intensivists and obsetricians working at our institution. Adult patients whose medical records were complete and whose diagnosis was confirmed by medical imaging were included. Read More

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Prenatal Imaging Diagnosis of Suprarenal Lesions.

Fetal Diagn Ther 2021 17;48(3):235-242. Epub 2021 Mar 17.

Department of Surgery, Boston Children's Hospital/Harvard Medical School, Boston, Massachusetts, USA,

Introduction: Prenatal suprarenal lesions represent diverse pathologies. This study investigated prenatal imaging features and regression patterns associated with specific lesion diagnoses.

Methods: This is a multicenter retrospective review of fetuses with prenatally diagnosed suprarenal lesions between 2001 and 2019. Read More

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Pheochromocytoma Diagnosed during the Treatment of Diffuse Alveolar Hemorrhage, a Diagnostic Necessity before Using High-dose Glucocorticoids.

Intern Med 2021 Mar 15. Epub 2021 Mar 15.

Department of Endocrinology and Diabetes, Yamanashi Prefectural Central Hospital, Japan.

A 46-year-old woman with exacerbating hemoptysis and dyspnea was diagnosed with diffuse alveolar hemorrhage (DAH). High doses of glucocorticoids were initiated, but afterward, paroxysmal hypertension (210/140 mmHg) with headache and abdominal pain appeared. A 50-mm left adrenal tumor with an intense uptake by iodine-123 metaiodobenzylguanidine scintigraphy and catecholamine hypersecretion revealed complication with pheochromocytoma. Read More

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Haemorrhagic shock from solid tumours of the adrenal gland: a case of bleeding primary adrenal lymphoma.

Ann R Coll Surg Engl 2021 Mar;103(3):e101-e105

Department of General Surgery, Sandwell and West Birmingham Hospital, West Bromwich, UK.

Suprarenal or adrenal gland haemorrhage is an uncommon but potentially lethal condition if unrecognised. Adrenal masses rarely present with haemorrhage, but they remain an important differential aetiology for adrenal bleeding. We present a novel case of primary adrenal lymphoma with adrenal haemorrhage in a middle-aged woman who presented with right-sided abdominal pain and class 1 haemorrhagic shock. Read More

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Bilateral adrenal haematoma complicated by adrenal insufficiency in a patient treated with bevacizumab.

BMJ Case Rep 2021 Feb 22;14(2). Epub 2021 Feb 22.

Departement of Medical Oncology, Gustave Roussy Institute, Villejuif, Île-de-France, France.

Bevacizumab (bev) significantly improves outcomes of patients with metastatic colorectal cancer (mCRC). However, the addition of bev to concurrent chemotherapy significantly increased the risk of haemorrhage. We describe the case of a patient with mCRC who presented with acute diffuse abdominal pain following four cycles of bev-containing systemic chemotherapy. Read More

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February 2021

Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2021.

Endoscopy 2021 Mar 10;53(3):300-332. Epub 2021 Feb 10.

Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.

1: ESGE recommends in patients with acute upper gastrointestinal hemorrhage (UGIH) the use of the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification. Patients with GBS ≤ 1 are at very low risk of rebleeding, mortality within 30 days, or needing hospital-based intervention and can be safely managed as outpatients with outpatient endoscopy.Strong recommendation, moderate quality evidence. Read More

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Ultrasound of the adrenal gland in children.

Ultrasound 2021 Feb 20;29(1):48-56. Epub 2020 Aug 20.

Clarendon Wing Radiology Department, Leeds Children's Hospital, The Leeds General Infirmary, Leeds, UK.

Ultrasound is the modality of choice in the evaluation of neonates and young children with suspected adrenal lesions including adrenal haemorrhage and congenital adrenal hyperplasia. It is also the initial imaging modality in children presenting with an upper abdominal mass, which may be adrenal in origin. This paper shows adrenal anatomy and demonstrates how the sonographic features change with age. Read More

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February 2021

A huge haemorrhagic suprarenal pseudocyst: an unusual presentation of a rare condition.

BMJ Case Rep 2021 Feb 4;14(2). Epub 2021 Feb 4.

Department of Family Medicine, Al Thumama Health Centre, Primary Health Care Corporation, Doha, Qatar.

Haemorrhagic suprarenal pseudocysts are very rare and are often incidental findings at surgery or autopsy, though they can sometimes present with predominantly gastrointestinal or endocrine symptoms, including intraperitoneal bleeding or sepsis. Our case report is of a 48-year-old man who presented at our primary healthcare centre with 2-month history of predominantly respiratory symptoms of cough and shortness of breath. CT scan revealed a suprarenal cyst measuring 14. Read More

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February 2021

Adrenal metastases: early biphasic contrast-enhanced CT findings with emphasis on differentiation from lipid-poor adrenal adenomas.

Clin Radiol 2021 Apr 26;76(4):294-301. Epub 2021 Jan 26.

Department of Radiology, TongDe Hospital of ZheJiang Province, No.234, Gucui Road, Hangzhou, Zhejiang Province, 310012, China. Electronic address:

Aim: To evaluate the accuracy of unenhanced attenuation and early biphasic contrast-enhanced computed tomography (CT) in differentiating adrenal metastases (AMs) from lipid-poor adrenal adenomas (AAs).

Materials And Methods: This retrospective study included 37 patients with 50 AMs and 86 patients with 89 lipid-poor AAs. Quantitative data including the longest diameter (LD), the shortest diameter (SD), LD/SD ratio, CT attenuation values (CTu, CTa, CTv), degree of enhancement (DEAP, DEPP, DEpeak, APW, RPW), and peak enhanced/unenhanced (PE/U) CT attenuation ratio were obtained. Read More

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Heparin-induced thrombocytopenia presenting as splenic hemorrhage following cardiac surgery: a case report.

Thromb J 2021 Jan 19;19(1). Epub 2021 Jan 19.

Swedish Center for Blood Disorders and Stem Cell Transplantation, Seattle, WA, USA.

Background: Heparin-induced thrombocytopenia with thrombosis (HITT) is a paradoxical prothrombotic complication of anticoagulant therapy. As many as 3% of patients undergoing cardiac surgery develop clinical HIT presenting as thrombocytopenia with or without thrombosis within 5-10 days of heparin exposure. Thrombotic complications associated with HIT carry a mortality rate of 5-10%. Read More

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January 2021

Tissue Plasminogen Activator-Induced Angioedema Involving a Posterior Cerebral Artery Infarct: A Case Presentation.

Am J Case Rep 2021 Jan 14;22:e927137. Epub 2021 Jan 14.

Department of Medicine, Arnot Ogden Medical Center, Elmira, NY, USA.

BACKGROUND Angioedema is characterized by localized swelling of subcutaneous or submucosal tissue resulting from fluid extravasation due to the loss of vascular integrity. It most commonly occurs with exposure to allergens and certain medications, namely nonsteroidal anti-inflammatory agents and angiotensin-converting enzyme inhibitors. There have been few incidences of angioedema following the administration of tissue plasminogen activator. Read More

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January 2021

Abdominal pain with intra-adrenal bleeding as an initial presentation of pheochromocytoma.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

A 55-year-old man presented with severe right upper quadrant abdominal pain and hypertension up to 231/171 mm Hg on a background of a known adrenal mass, intravenous drug use and recurrent anxiety attacks. CT showed heterogenous lesion of the right adrenal gland but the sudden severe pain remained unexplained. After correction of the blood pressure with analgesia and antihypertensives, the patient developed a type 2 non-ST-elevation myocardial infarction that was treated with aspirin and therapeutic enoxaparin. Read More

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January 2021

Hydrophilic Polymer Embolization Following Coiling of Intracranial Aneurysm.

Ann Neurol 2021 04 9;89(4):842-843. Epub 2021 Jan 9.

Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

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Mielolipoma retroperitoneal perirrenal: reporte de un caso.

Cir Cir 2020 ;88(Suppl 2):52-55

Servicio de Cirugía General, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.

El mielolipoma es un tumor benigno de baja incidencia cuya localización más frecuente son las glándulas suprarrenales. Histológicamente se caracteriza por células con precursores mieloides y eritroides mezcladas con tejido adiposo maduro. El diagnóstico en general es incidental en una prueba de imagen. Read More

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January 2020

Adrenal haemorrhage as a complication of COVID-19 infection.

BMJ Case Rep 2020 Nov 30;13(11). Epub 2020 Nov 30.

Department of Endocrinology and Metabolic Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, UK.

We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Read More

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November 2020

Haemorrhagic retroperitoneal paraganglioma initially manifesting as acute abdomen: a rare case report and literature review.

BMC Surg 2020 Nov 30;20(1):304. Epub 2020 Nov 30.

Department of General Surgery, The Second Hospital of Dalian Medical University, Zhongshan Road, Shahekou District, Dalian City, 116023, Liaoning Province, People's Republic of China.

Background: Paragangliomas (PGLs) are extremely rare neuroendocrine tumours arising from extra-adrenal chromaffin cells. PGLs are clinically rare, difficult to diagnose and usually require surgical intervention. PGLs mostly present catecholamine-related symptoms. Read More

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November 2020

Imaging of solid congenital abdominal masses: a review of the literature and practical approach to image interpretation.

Pediatr Radiol 2020 12 30;50(13):1907-1920. Epub 2020 Nov 30.

Department of Radiology, Pediatric Section, Baylor Scott and White Health-Temple, McLane Children's Medical Center, Texas A&M Health Science Center, 2401 S. 31st St., MS-01-W256, Temple, TX, 76508, USA.

Fetal abdominal tumors are rare, usually benign, and cause a great deal of anxiety for expectant parents and the physicians counseling them. In this paper the author reviews the most common fetal abdominal tumors in the liver (hemangioma, mesenchymal hamartoma, hepatoblastoma, metastases) and the kidney (congenital mesoblastic nephroma, Wilms tumor, malignant rhabdoid tumor, and clear cell sarcoma), and suprarenal mass lesions (adrenal neuroblastoma, adrenal hemorrhage, and subdiaphragmatic extralobar pulmonary sequestration). The author describes the imaging approach, imaging appearance and differentiating features of tumors, and differences between fetal and childhood appearances of tumors. Read More

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December 2020

Role of MRI in the Diagnosis of Large Right Adrenal Abscess.

Cureus 2020 Oct 16;12(10):e10986. Epub 2020 Oct 16.

Abdominal Imaging, University of Florida College of Medicine, Jacksonville, USA.

Adrenal abscesses are extremely rare occurrences with only scattered case reports reported in the literature. Owing to their rarity, they are not usually considered within the typical differential for cystic adrenal masses discovered on computed tomography (CT) or magnetic resonance imaging (MRI). Accurate and timely diagnosis of these lesions is critical to exclude malignancy and ensure appropriate management. Read More

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October 2020

Rapid-onset acute respiratory distress syndrome after mastectomy in a breast cancer patient: A case report and review of literature.

Medicine (Baltimore) 2020 Oct;99(43):e22795

Department of Critical Care Medicine, Mackay Memorial Hospital, Taipei.

Rationale: Postoperative acute respiratory distress syndrome (ARDS) often results in severe morbidity and mortality in surgical patients. The etiology of this condition is complex, especially in cancer patients.

Patient Concerns: We encountered a 53-year-old woman with left breast cancer, cT1cN2M0, stage IIIA with left axillary lymph node metastasis. Read More

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October 2020

Reversibility of Acute Adrenal Insufficiency after hip Replacement: A Case Series.

Endocr Metab Immune Disord Drug Targets 2020 Oct 13. Epub 2020 Oct 13.

Division of Endocrinology, Diabetology and Metabolism, Santa Croce and Carle Hospital, Via A. Carle n. 5, 12100 Cuneo. Italy.

Background: Acute adrenal insufficiency is a rare but potentially lethal condition that is important to identify promptly and treat with replacement therapy. It can be due to adrenal hemorrhage that can occur after major orthopedic surgery. Few data are available about potential recovery of adrenal function, as well as both timing and modality of cortisone acetate withdrawal, probably due to the assumption that adrenal failure is definitive. Read More

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October 2020