Yaşlı bir Hastada Görülen Akut Adrenal Kanama

Year 2015, Volume: 6 Issue: 1, 10 - 12, 01.01.2015

Demet Acar Mustafa Gülpembe Nazire Belgin Akıllı Saniye Göknil Çalık Ramazan Köylü Yahya Kemal Günaydın Türker Acar

https://izlik.org/JA54BT74XT

Abstract

Giriş: Adrenal kanama oldukça nadir görülmekle birlikte
travma, stres, sepsis, adrenal tümör, antikoaülan ilaçlar, kanama
bozuklukları ve gebelik gibi durumlara sekonder gelişebilir.
Akut adrenal kanama adrenal yetmezliğe ve sıvı-elektrolit
dengesizliğine yol açabileceğinden acil tanı ve tedavi hayat
kurtarıcıdır.
Olgu Sunumu: Burada sağ omuz ağrısı şikayeti ile acil servise
başvuran yaşlı bir hastada bir kaç saat içinde tanısı konan ve
tedavisi gerçekleştirilen bir adrenal kanma sunulacaktır.
Sonuç: Akut adrenal kanama çok nadirdir ve tanısı da oldukça
zordur. Klinisyenler, hızlı tanı ve tedavi için bu nadir hastalığı
akılda tutmalıdır.

Keywords

Akut adrenal kanama , yaşlı , tedavi

Acute Adrenal Hemorrhage in an Elderly Patient

https://izlik.org/JA54BT74XT

Abstract

Introduction: Adrenal hemorrhage is a relatively rare condition that is caused by trauma, stress, sepsis, adrenal tumors, anticoagulation, hemorrhagic disorders, and pregnancy. In acute adrenal hemorrhage, prompt diagnosis and treatment may be life-saving, because acute adrenal hemorrhage may result in acute adrenalin insufficiency and fluid–electrolyte imbalance. Case Report: Herein we present the case of an elderly patient admitted to the emergency room with right shoulder pain that was diagnosed and treated for adrenal hematoma in a few hours. Conclusion: Acute adrenal hemorrhage is quite rare and accurate diagnosis of this condition is extremely difficult. Clinicians should be aware of this rare condition and its management in order to accomplish prompt treatment

Keywords

Acute adrenal hemorrhage , elderly , management

References

• Xarli VP, Steele AA, Davis PJ, Buescher ES, Rios CN, Garcia-Bunuel R. Ad- renal hemorrhage in the adult. Medicine (Baltimore) 1978; 57: 211-21. [CrossRef]
• Vella A, Nippoldt TB, Morris JC 3rd. Adrenal hemorrhage: a 25-year expe- rience at the Mayo Clinic. Mayo Clin Proc 2001; 76: 161-8. [CrossRef]
• Tritos NA. Adrenal Hemorrhage. E Medicine 2007. http://emedicine. medscape.com/article/126806-overview. [CrossRef]
• Ahmad S, Abdulqawi R, Ashawesh K. Massive retroperitoneal adrenal haemorrhage as the first manifestation of a lung cancer. Ann Acad Med Singapore 2008; 37: 615-6. 11
• Marti JL, Millet J, Sosa JA, Roman SA, Carling T, Udelsman R. Spontane- ous adrenal hemorrhage with associated masses: etiology and man- agement in 6 cases and a review of 133 reported cases. World J of Surg 2012; 36: 75-82. [CrossRef]
• Gavrilova-Jordan LP, Edmister WB, Farrell MA, Watson WJ. Spontaneous adrenal hemorrhage during pregnancy: a review of the literature and a case report of successful conservative management. Obstetrical and Gynecological Survey 2005: 60: 191-5. [CrossRef]
• Shah HR, Love L, Williamson MR, Buckner BC, Ferris EJ. Hemorrhagic ad- renal metastases: CT findings. J Comput Assist Tomogr 1989: 13: 77-81. [CrossRef]
• Fowler AM, Burda JF, Kim SK. Adrenal artery embolization: anatomy, indications, and technical considerations. AJR Am J Roentgenol 2013; 201: 190-201. [CrossRef]
• Patel A, Downing R, Vijay S. Spontaneous rupture of the adrenal artery successfully treated using the endovascular approach: a report of 2 cases. Vasc Endovascular Surg 2013; 47: 124-7. [CrossRef]
• Marti JL, Millet J, Sosa JA, Roman SA, Carling T, Udelsman R. Spontane- ous adrenal hemorrhage with associated masses: etiology and man- agement in 6 cases and a review of 133 reported cases. World J Surg 2012; 36: 75-82. [CrossRef]