1,287 results match your criteria Adrenal Hemorrhage Imaging

A case of ChAdOx1 vaccine-induced thrombocytopenia and thrombosis syndrome leading to bilateral adrenal haemorrhage and adrenal insufficiency.

Endocrinol Diabetes Metab Case Rep 2022 Jun 1;2022. Epub 2022 Jun 1.

Oxford Centre for Endocrinology, Diabetes and Metabolism, Churchill Hospital, Oxford, UK.

Summary: Vaccine-induced thrombosis and thrombocytopenia (VITT) after vaccination against SARS-CoV-2 with the adenoviral vector-based vaccines ChAdOx1 and Ad26.COV2.S has been associated with adrenal pathology, such as bilateral adrenal vein thrombosis, adrenal cortex haemorrhage and adrenal insufficiency in 6% of patients. Read More

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A Rare Case of a Solitary Fibrous Tumor in a Child, Presenting as a Congenital Mass, Displaying Gene Fusion with an Incidental Ganglioneuroblastoma.

Int J Surg Pathol 2022 Jun 16:10668969221102543. Epub 2022 Jun 16.

Division of Molecular Pathology and Translational Medicine, Tata Memorial Hospital (TMH), Homi Bhabha National Institute (HBNI) University, Parel, Mumbai, Maharashtra, India.

A solitary fibrous tumor (SFT) is a ubiquitous tumor that occurs across all ages. It is rarely reported in pediatric patients, especially as a congenital mass. A 1 year 7-month old male child presented with a slow-growing gluteal mass since birth along with a recent episode of bleeding. Read More

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Adrenal carcinoma: a case report.

J Med Case Rep 2022 May 30;16(1):229. Epub 2022 May 30.

National Hospital of Sri Lanka, Colombo 10, Sri Lanka.

Background: Adrenocortical carcinoma is a rare malignancy (0.5-2 cases/million/year) with a poor prognosis. Hypercortisolism, virilization, and compressive features are among the common presentations of adrenocortical carcinoma. Read More

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Spontaneous adrenal haemorrhage in pregnancy and review of the literature.

BMJ Case Rep 2022 May 6;15(5). Epub 2022 May 6.

Obstetrics and Gynaecology, East and North Hertfordshire NHS Trust, Stevenage, Hertfordshire, UK.

Spontaneous adrenal haemorrhage (SAH) is a rare condition. The incidence of adrenal haemorrhage in pregnancy is currently not known; however, an association with pregnancy has been reported.An acute presentation with severe back or flank pain should raise suspicion of this condition. Read More

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Neonatal bilateral adrenal hemorrhage and adrenal insufficiency accompanied by Subgaleal hematoma: a case report with brief review of literature.

BMC Pediatr 2022 05 5;22(1):248. Epub 2022 May 5.

Department of Family Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Neonatal adrenal hemorrhage (NAH) is an almost infrequent phenomenon (0.2-0.55%). Read More

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Adrenal gland haemorrhages following motor vehicle accident with resultant adrenal insufficiency.

Endocrinol Diabetes Metab Case Rep 2022 May 1;2022. Epub 2022 May 1.

Department of Endocrinology & Diabetes, Alfred Hospital, Melbourne, Australia.

Summary: Adrenal gland haemorrhage is an uncommon, yet likely under-diagnosed complication of high-impact trauma, such as motor vehicle accidents (MVA). It usually occurs with multi-trauma and is associated with additional injuries to the ribs, liver, kidney, spleen and vertebrae. Trauma cases with resultant adrenal gland injury have higher mortality rates. Read More

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Contrast-enhanced ultrasound of adrenal hemorrhage: a helpful problem solving tool.

Med Ultrason 2022 Mar 6. Epub 2022 Mar 6.

Ultrasound and Biopsy Diagnostics Lab at the Clinic of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.

Aims: A focal lesion in the region of the adrenal gland in a newborn often requires further assessment. Ultrasound (US) is the initial imaging method of choice in young children as it does not use radiation or require sedation and it has excellent spatial resolution. In this case series, we present contrast-enhanced ultrasound (CEUS) as a problem-solving tool in the evaluation of neonatal adrenal lesions. Read More

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Waterhouse-Friderichsen Syndrome with Bilateral Adrenal Hemorrhage Associated with Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia in an Adult Patient with History of Intravenous Drug Use.

Thomas Kalinoski

Am J Case Rep 2022 Apr 14;23:e936096. Epub 2022 Apr 14.

Department of Internal Medicine, Olive View - UCLA Medical Center, Sylmar, CA, USA.

BACKGROUND Waterhouse-Friderichsen syndrome, also known as acute adrenal insufficiency due to adrenal gland hemorrhage, is an uncommon and frequently fatal condition classically presenting with fever, shock, rash, and coagulopathy. Although most often associated with Meningococcemia, many other etiologies have been implicated, including reports of Staphylococcus aureus infection on autopsy examinations. This report details an adult intravenous drug user with adrenal hemorrhage associated with methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. Read More

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Neurological Presentation of Giant Pituitary Tumour Apoplexy: Case Report and Literature Review of a Rare but Life-Threatening Condition.

J Clin Med 2022 Mar 13;11(6). Epub 2022 Mar 13.

IRCCS Centro Neurolesi "Bonino-Pulejo", Via Provinciale Palermo, Contrada Casazza, 98124 Messina, Italy.

Background: Giant pituitary adenomas are benign intracranial tumours with a diameter ≥4 cm. Even if hormonally non-functional, they may still cause local extension, leading to symptoms that include mostly gland dysfunction, mass effects, and, much less frequently, apoplexy due to haemorrhage or infarction. Neurological presentation of giant pituitary tumour apoplexy is even more rare and has not been systematically reviewed. Read More

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Imaging findings of spontaneous intraabdominal hemorrhage: neoplastic and non-neoplastic causes.

Abdom Radiol (NY) 2022 04 1;47(4):1473-1502. Epub 2022 Mar 1.

Department of Radiology, Hacettepe University School of Medicine, Sihhiye, 06230, Ankara, Turkey.

Contrary to traumatic and iatrogenic intraabdominal hemorrhages, spontaneous intraabdominal hemorrhage is a challenging clinical situation. A variety of neoplastic and non-neoplastic conditions may cause spontaneous intraabdominal bleeding. Imaging findings vary depending on the source of bleeding and the underlying cause. Read More

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Bilateral adrenal hemorrhage: a rare presentation of acute myeloid leukemia.

Int J Hematol 2022 04 25;115(4):455-456. Epub 2022 Feb 25.

Department of Neurology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.

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Adrenal trauma experience at a major tertiary centre in Sweden: Clinical and radiological findings.

Clin Endocrinol (Oxf) 2022 Jul 27;97(1):28-35. Epub 2022 Feb 27.

Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Background And Objective: Information on the incidence of adrenal trauma and its association with other injuries is limited. Our objective was to study the incidence of adrenal haemorrhage, its association with other injuries, clinical parameters, and long-term outcomes.

Patients And Measurements: All patients treated for severe abdominal trauma (Level 1) at Karolinska University Hospital, Solna, between January 1, 2013 and December 31, 2018 were included. Read More

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Unusual presentation of adrenal hemangioma as an incidental large adrenal hematoma - A case report.

Clin Imaging 2022 Apr 5;84:61-64. Epub 2022 Feb 5.

Department of Radiology, Loyola University Medical Center, 2160, South 1(st) Avenue, Maywood, IL 60153, USA. Electronic address:

Adrenal hemangiomas are exceedingly rare benign tumors. Hemangiomas are commonly found in the skin and liver. When they arise in the adrenal gland, they are typically found incidentally on imaging, large size at presentation and are usually surgically resected in view of their large size and heterogeneous imaging appearance. Read More

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Ultrasound finding of vaginal bleeding in infants with 21-hydroxylase deficiency.

Pediatr Int 2022 Jan;64(1):e14966

Department of Pediatrics, Keio University School of Medicine, Tokyo, Japan.

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January 2022

Hereditary and Sporadic Pheochromocytoma: Comparison of Imaging, Clinical, and Laboratory Features.

AJR Am J Roentgenol 2022 Jul 26;219(1):97-109. Epub 2022 Jan 26.

Department of Radiology, Division of Abdominal Imaging, Massachusetts General Hospital, 55 Fruit St, White 270, Boston, MA 02114.

A considerable fraction of pheochromocytomas initially suspected to be sporadic, whether or not symptomatic, are a result of germline mutations. The purpose of this article is to compare imaging features between hereditary and sporadic pheochromocytomas. This retrospective study included 71 patients (39 women, 32 men; median age, 48 years) who underwent adrenal pheochromocytoma resection from January 2002 to October 2021 after preoperative CT or MRI. Read More

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Differentiation between heterogeneous adrenal adenoma and non-adenoma adrenal lesion with CT and MRI.

Abdom Radiol (NY) 2022 03 17;47(3):1098-1111. Epub 2022 Jan 17.

Department of Radiology, Reims University Hospital, 45 rue Cognacq-Jay, 51092, Reims, France.

Purpose: To assess whether heterogeneous adrenal adenomas can be distinguished from heterogeneous non-adenomas with Computed Tomography (CT) and/or Magnetic Resonance Imaging (MRI).

Method: From 2009 to 2019, 980 consecutive adrenalectomies were retrospectively identified. Patients without adequate CT/MRI, with homogeneous and/or < 1 cm lesions were excluded. Read More

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Circulation collapse caused by intracardiac thrombosis associated with tranexamic acid administration: A case report.

Medicine (Baltimore) 2021 Nov;100(47):e27997

Department of Anesthesia, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.

Rationale: Perioperative administration of tranexamic acid has been suggested to reduce bleeding and blood transfusion requirements in patients undergoing orthopedic surgery. Despite being sporadic, the potential risk for thrombotic complications cannot be ignored. However, intracardiac thrombosis associated with tranexamic acid administration is rare. Read More

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November 2021

Adrenal Infarction in Pregnancy Secondary to Elevated Plasma Factor VIII Activity.

Cureus 2021 Nov 11;13(11):e19491. Epub 2021 Nov 11.

Internal Medicine, University of Florida College of Medicine, Jacksonville, USA.

Unilateral adrenal infarction is a rare cause of acute abdomen in pregnancy (AAP). Its presentation is non-specific and requires a high index of suspicion with a low threshold to obtain radiographic imaging for diagnosis. Evaluating AAP is challenging as diagnostic radiographic imaging is often limited in relation to radiation exposure to the developing fetus. Read More

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November 2021

Intracerebral Haemorrhage: A Rare Presentation of Phaeochromocytoma.

J Indian Assoc Pediatr Surg 2021 Nov-Dec;26(6):439-441. Epub 2021 Nov 12.

Department of Pediatrics, Kasturba Medical College, Manipal, Karnataka, India.

Phaeochromocytoma is a rare childhood adrenal medullary catecholamine secreting tumour, arising from the chromaffin cells of the sympathetic origin derived from the neural crest cells. Only a few cases have been reported in the literature so far. We report an uncommon presentation in a 5-year-old boy with intracerebral haemorrhage, hemiplegia, and paroxysmal hypertension. Read More

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November 2021

Ultrasound and alternative multimodality imaging of intra-abdominal and pelvic cystic masses in the newborn.

Ultrasound 2021 Nov 17;29(4):241-251. Epub 2021 Feb 17.

KK Women's and Children's Hospital Singapore, Kampong Java, Singapore.

Ultrasound is used commonly to detect and diagnose intra-abdominal and pelvic cystic masses in the newborn as it is easily available, relatively low cost, and non-invasive. The diagnosis can be made or narrowed down by determining the location, size, sonographic features, organ involvement, and internal vascularity. The differential diagnoses include hydronephrosis, multicystic dysplastic kidney, adrenal haemorrhage, cystic teratomas, ovarian cysts, enteric cysts, meconium cysts, and liver haemangiomas. Read More

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November 2021

An Adrenal Myelolipoma With Hemorrhage.

AACE Clin Case Rep 2021 Nov-Dec;7(6):385-386. Epub 2021 Apr 20.

Department of Medicine, St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, Massachusetts.

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[Bilateral adrenal hemorrhage after severe COVID-19 infection. Report of one case].

Rev Med Chil 2021 Jul;149(7):1081-1084

Servicio de Radiología, Clínica Red Salud Providencia, Santiago, Chile.

We report a 47-year-old male with a severe disease caused by COVID-19, who required mechanical ventilation for 18 ays. During the hospital stay he received dexamethasone and anticoagulation with heparin. After discharge a new chest CT scan showed homogeneous hypo vascular enlargement of both adrenal glands, not present in the initial imaging studies. Read More

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Upper gastrointestinal bleeding due to duodenum diverticulum: a challenge for the endoscopist.

Rev Esp Enferm Dig 2022 Mar;114(3):179

Digestive Medicine, Hospital General Universitario de Elche.

An 80-year-old female with a mechanic mitral valve treated with acenocumarol was admitted to the hospital due to tarry stools over the last two days and hemoglobin levels of 5.6 g/dl. She had not biliary pathology. Read More

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Contrast extravasation on computed tomography angiography in patients with hematochezia or melena: Predictive factors and associated outcomes.

Diagn Interv Imaging 2022 Mar 14;103(3):177-184. Epub 2021 Oct 14.

Department of Radiology A, Hôpital Cochin, APHP, Paris 75014, France; Faculté de Médecine, Université de Paris, Paris 75006, France.

Purpose: The purpose of this study was to identify variables associated with extravasation on computed tomography angiography (CTA) in patients with hematochezia/melena and compare the outcome of patients with extravasation on CTA to those without extravasation.

Material And Methods: Ninety-four patients (51 men, 43 women; mean age, 69 ± 16 [SD] years) who underwent CTA within 30 days of hematochezia/melena were included. Variables associated with extravasation on CTA were searched using univariable and multivariable analyses. Read More

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Neurological outcomes of antenatal corticosteroid therapy.

Int J Clin Pract 2021 Dec 10;75(12):e14936. Epub 2021 Oct 10.

Department of Obstetrics and Gynecology, "Veris delli Ponti Hospital", Scorrano, Italy.

Aim Of The Study: The aim of the study was to investigate whether antenatal corticosteroid therapy (ACST) could impact neurological condition, as assessed through muscular tone, of prematurely born infants.

Methods: All 82 patients at risk of preterm delivery treated and delivered over 12 months were divided into two equal groups regarding the use of ACST. The investigated parameters were pregnancy complications, biophysical profile, Apgar score, gestational age of delivery and all postpartum complications. Read More

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December 2021

A Rare Case of Hemorrhagic Giant Adrenal Myelolipoma: Radiographic and Pathologic Correlation.

Cureus 2021 Aug 21;13(8):e17353. Epub 2021 Aug 21.

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

Myelolipomas are rare benign tumors made up of adipose and hematopoietic tissue that commonly occur in the adrenal glands unilaterally. Spontaneous hemorrhage occurs in < 5% of these tumors, and often present as large masses. A 50-year-old male presented with right flank pain that had been growing increasingly worse over a two-week period. Read More

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Pituitary apoplexy: Surgical or conservative management?

Orv Hetil 2021 09 19;162(38):1520-1525. Epub 2021 Sep 19.

1 Országos Mentális, Ideggyógyászati és Idegsebészeti Intézet, Budapest, Amerikai út 57., 1145.

Összefoglaló. Az agyalapimirigy-apoplexia ritka klinikai kórkép, mely hirtelen kialakult bevérzés vagy infarktus következményeként jelenik meg. A hypophysisadenomás betegek 2-12%-ában fordul elő, a leggyakrabban funkcionálisan inaktív daganatokban, de jelentkezhet gyógyszeresen kezelt adenomákban is. Read More

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September 2021

Adrenal Insufficiency Revealing a Bilateral Adrenal Hemorrhage-Adrenal Infarction Related to Antiphospholipid Syndrome.

Am J Med 2022 02 9;135(2):194-195. Epub 2021 Sep 9.

Department of Internal Medicine and Clinical Immunology, University Hospital, Dijon, France. Electronic address:

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February 2022

Adrenal hemorrhage and hemorrhagic masses; diagnostic workup and imaging findings.

Br J Radiol 2021 Nov 31;94(1127):20210753. Epub 2021 Aug 31.

Department of Radiology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.

Adrenal hemorrhage (AH) is a rare condition. It can be traumatic or non-traumatic. Most common causes are septicemia, coagulopathy or bleeding diathesis, and underlying neoplasms. Read More

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November 2021

Adrenal myelolipomas.

Lancet Diabetes Endocrinol 2021 11 24;9(11):767-775. Epub 2021 Aug 24.

Department of Endocrinology, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Adrenal myelolipomas are benign, lipomatous tumours with elements of myeloid cells, most of which present as adrenal incidentalomas and comprise 3·3-6·5% of all adrenal masses. Adrenal myelolipomas are usually unilateral (in 95% of cases), variable in size, most often found during midlife, and affect both sexes almost equally. On imaging, adrenal myelolipomas show pathognomonic imaging features consistent with the presence of macroscopic fat. Read More

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November 2021