We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hemorragia adrenal unilateral espontânea aguda: etiologia e achados de imagem em seis casos.
- Authors
Adôrno, Isa Félix; Kojun Tibana, Tiago; de Lima, Guilherme Castilho Sorensen; de Assis Martins, Leticia; Gutierrez Junior, Walberth; Menasce Goldman, Suzan; Franchi Nunes, Thiago
- Abstract
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. Patients with aortic rupture and retroperitoneal hemorrhage were excluded. The images were analyzed by an experienced radiologist and by two radiology residents. Results: Six cases of unilateral adrenal hemorrhage (three on the left and three on the right) were analyzed. On computed tomography, each appeared as a rounded, oval mass altering the usual anatomy of the adrenal gland. The maximum diameter was 12.2 cm, and attenuation ranged from 45 to 70 HU. There was no appreciable contrast enhancement. No calcifications were observed. Conclusion: Adrenal hemorrhage, albeit rare, is potentially fatal. Early diagnosis is essential. Therefore, recognition of the possible presentations of these lesions by radiologists may help prevent hemorrhage from progressing to adrenal insufficiency and death.
- Publication
Radiologia Brasileira, 2019, Vol 52, Issue 1, p12
- ISSN
0100-3984
- Publication type
Article
- DOI
10.1590/0100-3984.2018.0041