Adrenal Cystic Lesion Presented With Spontaneous Hemorrhage

Abstract

Adrenal hemorrhage is a rare but life-threatening condition. Spontaneous hemorrhage occurs without any trauma. A focal bleeding may cause even a subclinical condition or cardiovascular collapse with massive bleeding. Non-proper diagnosis may cause even death. In literature most of the cases are treated conservatively. Conservative treatment necessitates close follow up and if fails, surgery becomes challenging. Here, we present a case with spontaneous adrenal hemorrhage that was first taken to conservative treatment and undergone emergency surgery.

Keywords

• Adrenal Hemorrhage,retroperitoneal hematoma

References

1. Hiroi N, Yanagisawa R, Yoshida-Hiroi M, Endo T, Kawase T, Tsuchida Y ve diğ. Akciğer adenokarsinomundan bilateral adrenal metastaza bağlı retroperitoneal hemoraji. J Endocrinol Invest. 2006; 29 : 551-4.
2. Gavrilova-Ürdün L, Edmister DB, Farrell MA, Watson WJ. Gebelikte spontan adrenal kanama: Başarılı bir konservatif yaklaşımın literatür ve olgu sunumu. Obstet Gynecol Surv Mart. 2005; 60 : 191–5.
3. Kovacs KA, Lam YM, Pater JL. Bilateral kitle adrenal kanama. Varsayımsal risk faktörlerinin vaka kontrollü yöntemle değerlendirilmesi. Tıp (Baltimore) 2001; 80 : 45-53.
4. Pushkar P, Agarwal A. Spontaneous massive adrenal hemorrhage: a management dilemma, Journal of Endourology Case Reports 2015:1:1, 52–53
5. Paluszkiewicz P, Ambroziak I, Holynska-Dabrowska K, Siezieniewska-Skowronska Z, Paluszkiewicz A. Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture. Arch Med Sci. 2010;6(1):122–125
6. Peng X, Luo W, Zhang X, Zhu W. Sudden onset flank pain: a case report of retroperitoneal hemorrhage secondary to a ruptured adrenal hemangioma. J Pain Res. 2018;11:1421-1424.
7. Foster DG. Adrenal cysts. Review of literature and report of case. Arch Surg 1966:92:131–43
8. Fernández-Vega, I., Camacho-Urkaray, E. & Guerra-Merino, I. Huge Adrenal Hemorrhagic Endothelial Cyst Secondary to an Adrenal Arteriovenous Malformation and Mimicking a Malignant Lesion Endocr Pathol 2014: 25: 443.

9. Lyu X, Liu L, Yang L, Gao L, Wei Q. Surgical management of adrenal cysts: a single-institution experience. Int Braz J Urol. 2014;40(5):656-65
10. Damburacı, N , Güner, M , Sevinç, B , Karahan, Ö. Use of a vessel sealing system (LigaSure Impact™) in the sealing and division of the intestine. Ege Tıp Bilimleri Dergisi, 2018:1 (1), 7-12