1,179 results match your criteria Adrenal Hemorrhage Imaging


Congenital Disseminated Pyogenic Granuloma: Characterization of an Aggressive Multisystemic Disorder.

J Pediatr 2020 Jul 2. Epub 2020 Jul 2.

Division of Vascular and Interventional Radiology, Boston Children's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address:

Objective: To describe the clinical, radiological and histopathological features of "congenital disseminated pyogenic granuloma" (CDPG) involving various organs with high morbidity related to cerebral hemorrhagic involvement.

Study Design: We searched the database of the Vascular Anomalies Center at Boston Children's Hospital from 1999 to 2019 for patients diagnosed as having multiple vascular lesions, visceral vascular tumors, congenital hemangiomatosis, multiple pyogenic granulomas or multiple vascular lesions without a definite diagnosis. A retrospective review of the medical records, photographs, histopathological and imaging studies was performed. Read More

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http://dx.doi.org/10.1016/j.jpeds.2020.06.079DOI Listing

Gastrointestinal Stromal Tumor: GIST Another Duodenal Ulcer.

Ochsner J 2020 ;20(2):236-238

Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL.

Gastrointestinal stromal tumors (GISTs), although exceedingly rare, are the most common mesenchymal tumors in the gastrointestinal (GI) tract. GISTs are often asymptomatic; approximately 10% are found incidentally on imaging or endoscopy for other indications, although GI bleeding, intestinal obstruction, and perforation can occur. We present a case of upper GI bleeding from a duodenal GIST. Read More

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http://dx.doi.org/10.31486/toj.18.0167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310177PMC
January 2020

A rare long-term undetected pheochromocytoma leading to Takotsubo syndrome in an older male patient: a case report.

BMC Endocr Disord 2020 Jun 23;20(1):93. Epub 2020 Jun 23.

Department of Cardiology, the First Affiliated Hospital, College of Medicine, Zhejiang University, #79, Qingchun Road, Zhejiang, 310003, Hangzhou, China.

Background: Takotsubo syndrome is an uncommon, acute, and reversible cardiomyopathy that occurs primarily in postmenopausal females. The clinical presentation of the syndrome resembles acute coronary syndrome, but coronary angiography reveals no obstructive coronary artery disease. Rarely, a catecholamine surge due to pheochromocytoma may induce Takotsubo syndrome. Read More

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http://dx.doi.org/10.1186/s12902-020-00578-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313138PMC

Adrenal Insufficiency Secondary to Bilateral Adrenal Hemorrhage: A Case Report.

Cureus 2020 Jun 13;12(6):e8596. Epub 2020 Jun 13.

Diabetes and Endocrinology, Peterborough City Hospital, Peterborough, GBR.

Acute adrenal hemorrhage (adrenal apoplexy) in the context of severe sepsis is potentially life-threatening. Diagnosis of this condition is difficult to achieve without a strong sense of suspicion. The concurrent use of anticoagulants increases the risk of adrenal hemorrhage in the context of sepsis. Read More

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http://dx.doi.org/10.7759/cureus.8596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294864PMC

Management of acute limb ischemia related to underlying pheochromocytoma.

J Vasc Surg Cases Innov Tech 2020 Jun 15;6(2):272-276. Epub 2020 Apr 15.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.

Acute limb ischemia (ALI) related to pheochromocytoma is rare. We describe a 69-year-old woman who presented with ALI due to a thromboembolic phenomenon from new-onset atrial fibrillation that was successfully treated with intra-arterial catheter-directed lysis and systemic anticoagulation. Further workup revealed a left adrenal mass and biochemical test results consistent with pheochromocytoma. Read More

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http://dx.doi.org/10.1016/j.jvscit.2020.03.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7264002PMC

CT and MR imaging of acute adrenal disorders.

Abdom Radiol (NY) 2020 May 26. Epub 2020 May 26.

The Ottawa Hospital, the University of Ottawa, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9, Canada.

The adrenal glands may be overlooked when evaluating acutely ill patients. Acute adrenal disorders may result from complications of an underlying systemic disease, which may be unsuspected clinically. Various acute adrenal emergencies including trauma, spontaneous hemorrhage, infarction and infection can be diagnosed using CT and MRI; however, in uncertain cases follow-up to resolution of imaging findings or histological sampling may be required for diagnosis. Read More

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http://dx.doi.org/10.1007/s00261-020-02580-wDOI Listing

Spontaneous hemorrhage of an adrenal myelolipoma treated with transarterial embolization: A case report.

Radiol Case Rep 2020 Jul 7;15(7):961-965. Epub 2020 May 7.

Department of Radiology, Section of Vascular and Interventional Radiology, University of Missouri, One Hospital Drive, Columbia, MO 65212, USA.

Adrenal myelolipoma is a benign tumor of the adrenal cortex composed predominantly of fat and hematopoietic tissue. These lesions are usually asymptomatic, and most often incidentally detected on imaging. Uncommonly, they present with retroperitoneal hemorrhage, and these have been traditionally treated with emergent surgery. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.04.034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214766PMC

Results of Percutaneous Computed Tomography-Guided Biopsy of Adrenal Lesions and Spectrum of Computed Tomography Findings.

J Clin Imaging Sci 2020 6;10:16. Epub 2020 Apr 6.

Pathology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Objective: Adrenal enlargement occurs in various conditions such as infections, benign, and malignant neoplasms. Percutaneous computed tomography (CT)-guided adrenal biopsy is a safe method for obtaining tissue specimen in cases where diagnosis cannot be established on imaging and biochemical grounds. The study aims to evaluate diagnostic yield, accuracy, and complications of percutaneous CT-guided adrenal biopsies. Read More

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http://dx.doi.org/10.25259/JCIS_3_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193151PMC

Precocious ischemia preceding bilateral adrenal hemorrhage: A case report.

Radiol Case Rep 2020 Jun 21;15(6):803-807. Epub 2020 Apr 21.

Institute of Biostructures and Bioimaging of the National Council of Research (CNR), Naples, Italy.

We present a case of a middle-age male who presented in emergency room with nonspecific abdominal pain. A contrast-enhanced computer tomography (ceCT) scan showed a reduced perfusion of both adrenal glands. The clinical examinations and the laboratory tests were negative for an adrenal pathological process. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.03.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7178323PMC

Haemorrhage in pre-existing adrenal masses. A case series.

Int J Surg Case Rep 2020 2;69:76-78. Epub 2020 Apr 2.

Third Department of Surgery, Athens General Hospital "G. Gennimatas", Mesogeion Avenue 154, Athens, Greece.

Introduction: Adrenal haemorrhage in the context of a pre-existing adrenal mass is a rare, underestimated and potentially fatal surgical emergency. It is a rare cause of acute abdominal pain.

Presentation Of Cases: Data from 13 patients with adrenal haemorrhage in a pre-existing adrenal mass were prospectively collected during a 9 year period from a single institution. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.03.031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163044PMC

A pictorial review of non-traumatic adrenergic crisis.

Emerg Radiol 2020 Apr 16. Epub 2020 Apr 16.

Ohio State University Wexner Medical Center, Columbus, OH, USA.

Non-traumatic adrenal crisis is a rare but critical diagnosis to make in emergency settings due to grave consequences. Various pathologies can present as acute crisis, such as spectrum of endocrine imbalance, ranging from catecholamine excess in pheochromocytomas to acute adrenal insufficiency related to glandular dysfunction. Critical manifestations may be due to structural causes related to adrenal hemorrhage, especially when they are bilateral. Read More

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http://dx.doi.org/10.1007/s10140-020-01777-2DOI Listing

Traumatic Adrenal Hemorrhage Masking as a Pseudotumor.

Cureus 2020 Mar 13;12(3):e7256. Epub 2020 Mar 13.

Trauma Critical Care/Surgery, East Tennessee State University, Johnson City, USA.

Several case reports have been filed regarding the latent presentation of hemorrhagic pheochromocytomas in the trauma setting; however, few patients have been found to exhibit these symptoms in the absence of a tumor. In this report, we discuss a patient who sustained blunt abdominal trauma leading to the development of an adrenal hemorrhage and his unexpected sequelae of symptoms. Discovery of the source of the patient's symptoms was delayed secondary to multiple comorbidities in the critical care setting and work-up for other sources such as infection and agitation. Read More

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http://dx.doi.org/10.7759/cureus.7256DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152569PMC

Clinical course of adrenal myelolipoma: A long-term longitudinal follow-up study.

Clin Endocrinol (Oxf) 2020 Jul 23;93(1):11-18. Epub 2020 Apr 23.

Division of Endocrinology, Diabetes, and Nutrition, Mayo Clinic, Rochester, MN, USA.

Objective: We aimed to describe clinical course of myelolipoma and to identify predictors of tumour growth and need for surgery.

Design: A retrospective study.

Patients: Consecutive patients with myelolipoma. Read More

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http://dx.doi.org/10.1111/cen.14188DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292791PMC

High-resolution optoacoustic imaging of tissue responses to vascular-targeted therapies.

Nat Biomed Eng 2020 03 12;4(3):286-297. Epub 2020 Mar 12.

Molecular Pharmacology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

The monitoring of vascular-targeted therapies using magnetic resonance imaging, computed tomography or ultrasound is limited by their insufficient spatial resolution. Here, by taking advantage of the intrinsic optical properties of haemoglobin, we show that raster-scanning optoacoustic mesoscopy (RSOM) provides high-resolution images of the tumour vasculature and of the surrounding tissue, and that the detection of a wide range of ultrasound bandwidths enables the distinction of vessels of differing size, providing detailed insights into the vascular responses to vascular-targeted therapy. Using RSOM to examine the responses to vascular-targeted photodynamic therapy in mice with subcutaneous xenografts, we observed a substantial and immediate occlusion of the tumour vessels followed by haemorrhage within the tissue and the eventual collapse of the entire vasculature. Read More

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http://dx.doi.org/10.1038/s41551-020-0527-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153756PMC

Normal size of the fetal adrenal gland on prenatal magnetic resonance imaging.

Pediatr Radiol 2020 May 14;50(6):840-847. Epub 2020 Feb 14.

Department of Diagnostic Imaging and Radiology, Children's National Hospital, Washington, DC, USA.

Background: The adrenal gland plays a vital role in fetal growth. Many disease states such as congenital adrenal hyperplasia, hemorrhage and tumors can lead to morphological changes in the gland. Ultrasound measurements of normal adrenal sizes in the fetus reported in the literature have shown a trend of increasing size with gestational age. Read More

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http://dx.doi.org/10.1007/s00247-020-04629-wDOI Listing

Imaging modalities and management of prenatally diagnosed suprarenal masses: an updated literature review and the experience at a high volume Fetal Treatment Center.

J Matern Fetal Neonatal Med 2020 Jan 26:1-8. Epub 2020 Jan 26.

Department of Surgery, University of California, San Francisco, CA, USA.

The differential diagnosis for prenatal suprarenal masses (SRMs) is broad and includes neuroblastoma, adrenal hemorrhage, and subdiaphragmatic extralobar pulmonary sequestration (SEPS). We sought to elucidate the appropriate postnatal management for fetuses found to have an SRM. We conducted a retrospective review of patients prenatally diagnosed with SRM at our institution between 1998 and 2018. Read More

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http://dx.doi.org/10.1080/14767058.2020.1716719DOI Listing
January 2020

EVOLVING ADRENAL DYSFUNCTION AFTER BILATERAL ADRENAL INFARCTION: A CASE REPORT.

AACE Clin Case Rep 2019 Nov-Dec;5(6):e334-e339. Epub 2019 Aug 15.

Objective: To describe a case of sequential bilateral adrenal infarction and hemorrhage resulting in an unusual pattern of adrenal function over time.

Methods: A 50-year-old male with autoimmune antiphospholipid syndrome (APS) presented to the emergency room with severe abdominal pain. Diagnostic studies performed included contrast-enhanced computerized tomographic (IV-CT) imaging of abdomen and pelvis, and laboratory assessment of the hypothalamic-pituitary-adrenal axis. Read More

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http://dx.doi.org/10.4158/ACCR-2019-0167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6873843PMC

ADRENAL INSUFFICIENCY FROM UNILATERAL ADRENAL HEMORRHAGE IN A PATIENT ON RIVAROXABAN THROMBOPROPHYLAXIS.

AACE Clin Case Rep 2019 Jan-Feb;5(1):e70-e72. Epub 2019 Jan 30.

Objective: We report a case of unilateral adrenal hemorrhage resulting in adrenal insufficiency in a patient on rivaroxaban for thromboprophylaxis after total knee arthroplasty.

Methods: The clinical presentation, laboratory findings, and outcome of the case are described. An overview of the etiology, diagnosis, and treatment of adrenal hemorrhage is reviewed. Read More

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http://dx.doi.org/10.4158/ACCR-2018-0340DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6876984PMC
January 2019

Adrenal failure secondary to bilateral adrenal haemorrhage in heparin-induced thrombocytopenia.

Ann Hematol 2020 Mar 14;99(3):657-659. Epub 2020 Jan 14.

Monash Haematology, Monash Health, Melbourne, VIC, Australia.

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http://dx.doi.org/10.1007/s00277-019-03851-3DOI Listing

Percutaneous cryoablation for the treatment of liver cancer at special sites: an assessment of efficacy and safety.

Quant Imaging Med Surg 2019 Dec;9(12):1948-1957

Department of Interventional Radiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.

Background: To assess the safety and efficacy of cryoablation (CA) devices for the treatment of liver cancer at special sites in a retrospective study.

Methods: Special site liver cancer was defined as the tumors directly abutting surrounding structures (such as the liver capsule, gallbladder, vessel, diaphragm, intestine, and adrenal gland) with a maximum distance of 1.0 cm between the tumor and these organs. Read More

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http://dx.doi.org/10.21037/qims.2019.11.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942968PMC
December 2019

[Ultrasound diagnosis of fetal adrenal hemorrhage].

Orv Hetil 2019 Dec;160(52):2073-2078

Szülészeti és Nőgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Baross u. 27., 1088.

The confirmed incidence of new-onset adrenal gland hemorrhage has increased with the development of ultrasound diagnostics in recent years. Intrauterine developed cases are rarely recognized. Differential diagnosis of cystic lesions of the adrenal gland is often only possible after birth. Read More

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http://dx.doi.org/10.1556/650.2019.31578DOI Listing
December 2019

A Baby with Raccoon Eyes.

Ophthalmology 2020 01;127(1):106

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.

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http://dx.doi.org/10.1016/j.ophtha.2019.08.025DOI Listing
January 2020

Development of multiple adrenal myelolipomas after trauma-induced adrenal haemorrhage.

BMJ Case Rep 2019 Dec 19;12(12). Epub 2019 Dec 19.

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA

Adrenal myelolipomas represent a benign neoplasm with known associations with many chronic diseases, 21-hydroxylase deficiency and cancer. However, the aetiology of adrenal myelolipomas remains unknown. Here, we present a case of a patient with image-proven bilateral adrenal haemorrhages caused by trauma with the subsequent development of bilateral adrenal myelolipomas several years later. Read More

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http://dx.doi.org/10.1136/bcr-2019-232439DOI Listing
December 2019

Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm.

BMJ Case Rep 2019 Dec 9;12(12). Epub 2019 Dec 9.

Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.

Spontaneous unilateral adrenal haemorrhage (AH) is extremely rare. Its presentation is usually non-specific and requires a high degree of suspicion as it is associated with high morbidity and mortality if diagnosis is delayed. Hereby, we present a case of 67-year-old man with significant cardiac history presented with right-sided chest pain and non-specific abdominal pain. Read More

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http://dx.doi.org/10.1136/bcr-2019-232539DOI Listing
December 2019

Bilateral adrenal hemorrhage after hip arthroplasty: an initially misdiagnosed case.

BMC Urol 2019 Nov 4;19(1):106. Epub 2019 Nov 4.

Department of urology, Peking University Shougang Hospital, Peking University Health Science Center, Beijing, 100144, China.

Background: Bilateral adrenal hemorrhage (BAH) is a rare but potentially catastrophic condition. Its clinical manifestation is often non-specific and sometimes difficult to be diagnosed in time. A 57-year-old woman, who presented with severe fatigue, nausea and vomiting after left hip arthroplasty due to her femoral neck fracture in a local hospital, was transferred to our medical center. Read More

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http://dx.doi.org/10.1186/s12894-019-0536-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6829824PMC
November 2019
1 Read

Rivaroxaban Related Bilateral Adrenal Hemorrhage: A Rare Complications of Direct Oral Anticoagulants - A Case Reports.

Am J Case Rep 2019 Nov 2;20:1607-1611. Epub 2019 Nov 2.

Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ, USA.

BACKGROUND Adrenal hemorrhage is an uncommon and under-recognized disorder with a wide array of etiologies ranging from pregnancy to septic shock. It is one of the complications of anticoagulation therapy, including direct anticoagulant medications. CASE REPORT Here, we present a case of a 68-year-old female with recent right knee arthroplasty who was on rivaroxaban for deep vein thrombosis (DVT) prophylaxis presented to the emergency department (ED) for severe acute onset abdominal pain, computed tomography (CT) of abdomen and pelvis revealed possible left adrenal hemorrhage that was confirmed with magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.12659/AJCR.917780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849691PMC
November 2019

Magnetic resonance imaging of adrenal gland: state of the art.

Gland Surg 2019 Sep;8(Suppl 3):S223-S232

Department of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Parma, Italy.

Detection of adrenal lesions, because of the widespread use of imaging and especially high-resolution imaging procedures, is increased. Because of the importance to characterize those findings, magnetic resonance imaging (MRI), in particular chemical shift imaging (CSI), is useful to distinguish whether a lesion is benignant or malignant and to avoid further diagnostic or surgical procedures. It represents the first choice of imaging in patient like children or pregnant women, and a valid complement to other imaging techniques like CT or PET/CT. Read More

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http://dx.doi.org/10.21037/gs.2019.06.02DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6755942PMC
September 2019
3 Reads

Orbital neuroblastoma metastasis: A case report and literature review.

Medicine (Baltimore) 2019 Sep;98(36):e17038

Department of Ophthalmology, The Central Hospital of Wuhan, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei, China.

Rationale: Neuroblastoma is one of the most common tumors found in children, and mostly arises in the adrenal gland and paravertebral regions. Orbital neuroblastoma metastasis is relatively rare, and is associated with poor prognosis. Since the symptoms and signs of orbital neuroblastoma are not specific, its diagnosis remains challenging. Read More

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http://dx.doi.org/10.1097/MD.0000000000017038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739015PMC
September 2019
4 Reads

Conservative Management of Scrotal Hematoma Secondary to Adrenal Hemorrhage in Newborns.

Urology 2019 Nov 26;133:e1-e2. Epub 2019 Aug 26.

Department of Pediatrics, Hospital Universitario Virgen del Rocío de Sevilla, 41013 Sevilla, Spain.

A 24-hour-old male presented with bruising and swelling of the right hemiscrotum and groin. Testicular torsion was ruled out in a Doppler sonography, signs of an evolving right adrenal hemorrhage was demonstrated in the abdominal ultrasound. The imaging follow-up proved the disappearance of both scrotal and adrenal hematomas. Read More

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http://dx.doi.org/10.1016/j.urology.2019.08.018DOI Listing
November 2019
4 Reads

Acute myeloid leukemia presenting as bilateral adrenal hemorrhage.

Ann Hematol 2019 Oct 24;98(10):2421-2423. Epub 2019 Aug 24.

Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

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http://dx.doi.org/10.1007/s00277-019-03788-7DOI Listing
October 2019
5 Reads

A unique fatal case of Waterhouse-Friderichsen syndrome caused by Proteus mirabilis in an immunocompetent subject: Case report and literature analysis.

Medicine (Baltimore) 2019 Aug;98(34):e16664

Legal Medicine Centre of INAIL,Enna, Italy.

Introduction: The Waterhouse-Friderichsen syndrome (WFS), also known as purpura fulminans, is a potentially lethal condition described as acute hemorrhagic necrosis of the adrenal glands. It is often caused by infection. Classically, Neisseriae meningitidis represents the main microorganism related to WFS, although, infrequently, also other infectious agents are reported as a possible etiologic agent. Read More

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http://dx.doi.org/10.1097/MD.0000000000016664DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716737PMC
August 2019
3 Reads

[Differential diagnosis and minimally invasive surgery of an antenatal adrenal mass].

Rev Chil Pediatr 2019 Jun;90(3):321-327

Escuela de Medicina, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.

Introduction: Adrenal masses are uncommon in newborns. The differential diagnosis includes be nign masses (adrenal hemorrhage, extralobar pulmonary sequestration) and malignant ones (neuro blastoma) that may be a finding during an obstetric ultrasound. The use of complementary imaging methods allows a better diagnosis approach during the postnatal period, with implications for the management of these patients. Read More

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http://dx.doi.org/10.32641/rchped.v90i3.823DOI Listing
June 2019
10 Reads

Seizures, renal failure and acute respiratory failure: not your typical case of Henoch-Schonlein purpura.

BMJ Case Rep 2019 Jul 17;12(7). Epub 2019 Jul 17.

Department of Medicine, Deaconess Health System, Evansville, Indiana, USA.

A 30-year-old Caucasian woman with no prior medical history presented with pedal oedema, arthralgias and abdominal pain with diarrhoea, following a respiratory infection. She had mild abdominal tenderness along with a purpuric rash on the extremities and was anaemic. Following initial workup for anaemia and rash, her condition deteriorated with renal impairment, respiratory failure and seizures necessitating ventilatory support, dialysis and steroids. Read More

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http://dx.doi.org/10.1136/bcr-2019-229939DOI Listing
July 2019
4 Reads

Case 268: Bilateral Adrenal Hemorrhage in the Context of Sepsis.

Radiology 2019 08;292(2):503-506

From the Department of Radiology, Norfolk and Norwich University Hospitals, Colney Lane, Norwich NR4 7UY, England.

History A 65-year-old man presented to the emergency department with a 1-week history of constipation, which was associated with increasing abdominal distention and not passing flatus. Four weeks prior to the current admission he had been diagnosed with metastatic primary adenocarcinoma of the appendix. One week ago, he had been hospitalized with small-bowel obstruction, for which he required laparotomy and loop ileostomy. Read More

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http://dx.doi.org/10.1148/radiol.2019170489DOI Listing
August 2019
2 Reads

Large pulmonary artery pseudoaneurysm in a patient with Behçet's disease treated with an Amplatzer vascular plug.

BMJ Case Rep 2019 Jun 27;12(6). Epub 2019 Jun 27.

Department of Pulmonary, Critical Care and Sleep Medicine, Jackson Memorial Hospital/University of Miami, Miami, Florida, USA.

This is the case of a 33-year-old man with Behçet's disease who presented with recurrent haemoptysis and a rapidly expanding right pulmonary artery pseudoaneurysm. Due to the significant risk of major bleeding and death, he was promptly treated with an Amplatzer vascular plug. Read More

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http://dx.doi.org/10.1136/bcr-2019-229516DOI Listing

Modern Management of Mild Autonomous Cortisol Secretion.

Clin Pharmacol Ther 2019 12 6;106(6):1209-1221. Epub 2019 Aug 6.

Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, Minnesota, USA.

Incidentally discovered adrenal tumors are reported in ~ 5% of adults undergoing cross-sectional imaging. Mild autonomous cortisol secretion (MACS) from the adrenal mass is demonstrated in 5-48% of patients with adrenal tumors. The diagnosis of MACS represents a challenge due to limitations of the currently used diagnostic tests, differences in the definitions of the clinically relevant MACS, and heterogeneity in an individual's susceptibility to abnormal cortisol secretion from the adrenal mass. Read More

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http://dx.doi.org/10.1002/cpt.1551DOI Listing
December 2019
15 Reads

Multi-detector computed tomography in the diagnosis and characterization of adrenal gland traumatic injuries.

Gland Surg 2019 Apr;8(2):164-173

Department of Radiology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Adrenal gland injuries after a blunt abdominal trauma are rare events and represent important indicators for severe trauma. Multidetector CT evolution with high volumetric resolution and fast acquisition with the use of multiplanar reformatted (MPR) visualization allows for an accurate and fast diagnosis of the adrenal gland for post-traumatic pathologies. While, before its introduction the diagnosis was made mainly postmortem or during surgery. Read More

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http://dx.doi.org/10.21037/gs.2019.01.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6534768PMC
April 2019
9 Reads

Unilateral nonhaemorrhagic adrenal infarction as a cause of abdominal pain during pregnancy.

Gynecol Endocrinol 2019 Nov 3;35(11):941-944. Epub 2019 Jun 3.

Department of Endocrinology, University Hospital Saint-Antoine , Paris , France.

Adrenal infarction is usually associated with bilateral adrenal hemorrhage in the setting of antiphospholipid syndrome or hemodynamic variation. Few cases of unilateral nonhemorrhagic adrenal infarction (NHAI) have been described in the literature. Here, we report a case occurring during pregnancy. Read More

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http://dx.doi.org/10.1080/09513590.2019.1622088DOI Listing
November 2019
15 Reads

A rare initial clinical presentation of pheochromocytoma.

BMJ Case Rep 2019 May 24;12(5). Epub 2019 May 24.

Urgences, Hôpitaux universitaires de Genève, Genève, Switzerland.

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http://dx.doi.org/10.1136/bcr-2018-226163DOI Listing
May 2019
5 Reads

Anatomy and management of upper moiety vascular variation in children with duplex kidney.

J Pediatr Surg 2019 Oct 23;54(10):2130-2133. Epub 2019 Apr 23.

Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing, China; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, China; Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China.

Purpose: To describe the upper pole vascular anatomy of duplex kidney and provide our experience with laparoscopic upper pole partial nephrectomy (LUPPN).

Methods: A retrospective study was performed among patients with duplex kidney who underwent computed tomography angiography at one single institution, some of whom were subsequently treated with LUPPN. According to imaging results and intraoperative findings, the arterial supply to the upper moiety of a duplex system was classified based on number and branching pattern. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.04.011DOI Listing
October 2019
9 Reads
1.311 Impact Factor

Gestational pituitary apoplexy: Case series and review of the literature.

J Gynecol Obstet Hum Reprod 2019 Dec 3;48(10):873-881. Epub 2019 May 3.

National Institute of Nutrition and Food Technology Department of Endocrinology, Manar University Tunis, Tunisia. Electronic address:

Pituitary apoplexy is an uncommon but potentially life-threatening emergency due to abrupt ischemic infarction or hemorrhage of the pituitary tumor. In many instances, pituitary apoplexy is the initial presentation in patients who were not previously diagnosed to have pituitary adenomas. Variety of precipitating factors have been linked to the occurrence of pituitary apoplexy, which include pregnancy. Read More

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http://dx.doi.org/10.1016/j.jogoh.2019.05.005DOI Listing
December 2019
14 Reads

Adrenalectomy for Bilateral Metachronous Adrenal Recurrence of Hepatocellular Carcinoma After Liver Transplant: A Case Report.

Exp Clin Transplant 2020 Jun 2;18(3):407-409. Epub 2019 May 2.

From the Department of Abdominal Surgery, Division of Transplantation Surgery, University Hospital Merkur, Zagreb, Croatia.

Hepatocellular carcinoma is the fifth most common cancer in the world and the third leading cause of cancer-related death. It is currently one of the leading indications for liver transplant, with selected 5-year survival rates after liver transplant of about 70%. Despite excellent results of liver transplant for hepatocellular carcinoma, a number of patients develop metastases after transplant, and multifocal metastatic disease is the most frequent cause of death. Read More

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http://dx.doi.org/10.6002/ect.2018.0257DOI Listing
June 2020
14 Reads

Disseminated aspergillosis in an immunocompetent patient treated with corticosteroids: value of PCR for diagnosis.

Rev Esp Quimioter 2019 Jun 29;32(3):273-275. Epub 2019 Apr 29.

Emilio Guirao-Arrabal. Infectious Diseases Unit. Hospital Universitario San Cecilio. Avenida de la Investigación, s/n. 18016 Granada. Spain.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609944PMC
June 2019
3 Reads

Robotic treatment of giant adrenal myelolipoma: A case report and review of the literature.

Mol Clin Oncol 2019 May 12;10(5):492-496. Epub 2019 Mar 12.

Department of Surgical and Biomedical Sciences, Inter-Divisional Urology Clinic (Perugia-Terni), Santa Maria della Misericordia University Hospital, I-06156 Perugia, Italy.

Adrenal myelolipoma is a rare mesenchymal tumour with benign biological behaviour that is mainly composed of mature adipose and myeloid tissue. Both sexes are equally affected, most commonly between the fifth and seventh decades of life. The diagnosis of adrenal myelolipoma is mostly incidental. Read More

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http://dx.doi.org/10.3892/mco.2019.1823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467000PMC
May 2019
4 Reads

Transplenic Splenorenal Shunt via the Left Adrenal Vein.

J Vasc Interv Radiol 2019 Oct 17;30(10):1615-1617.e1. Epub 2019 Apr 17.

Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114.

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http://dx.doi.org/10.1016/j.jvir.2018.12.005DOI Listing
October 2019
3 Reads

MRI features and differential diagnoses of congenital vaginal atresia.

Gynecol Endocrinol 2019 Sep 13;35(9):777-781. Epub 2019 Apr 13.

b Department of Respiratory Medicine, The 940th Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army (Former Lanzhou General Hospital of Lanzhou Military Region) , Lanzhou , China.

To investigate the MRI manifestations of congenital vaginal atresia, analyze its imaging features, and improve the understanding of the disease. MRI findings and clinical data of 12 patients with congenital vaginal atresia confirmed by hysteroscopy and laparoscopic surgery were retrospectively analyzed. Vaginal atresia was classified according to vaginal dysplasia in AFS female genital malformation classification system. Read More

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http://dx.doi.org/10.1080/09513590.2019.1588875DOI Listing
September 2019
10 Reads

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
19 Reads

[A Case of Giant Adrenal Endothelial Cyst that was Discovered in Pregnancy and Caused Bleeding Three Years Later].

Hinyokika Kiyo 2019 Jan;65(1):7-11

The Department of Urology, Nagasaki University Graduate School of Biomedical Sciences.

A 39-year-old woman was referred to our hospital after incidental detection of a hypoechoic abdominal mass on ultrasonography at the 11th week of gestation. Magnetic resonance imaging confirmed a 20 cm cystic lesion just cephalad to the left kidney. The patient delivered in the 40th week of gestation without complications. Read More

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http://dx.doi.org/10.14989/ActaUrolJap_65_1_7DOI Listing
January 2019
16 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
11 Reads