Haemorrhagic Shock from the Spontaneous Rupture of an Adrenal Cortical Carcinoma. A Case Report

Js, Stamoulis; Antonopoulou, Z; Safioleas, M

doi:10.1080/00015458.2004.11679543

Cited by 8 publications

(3 citation statements)

References 5 publications

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“…To the best of our knowledge, this is the 13th such case to be reported in the English literature of primary adrenal cortical malignancy presenting with spontaneous retroperitoneal haemorrhage 1 3 6–9. A report from the Centre for Postgraduate Medical Education, Warsaw, mentions 180 patients of adrenal carcinoma, including only four who had retroperitoneal haemorrhage as the presenting feature 6…”

Section: Discussionmentioning

confidence: 78%

“…Common aetiologies of spontaneous retroperitoneal haemorrhage in adults include trauma, coagulopathy or anticoagulation therapy, ruptured aneurysm of the aorta, splenic or renal artery and an arteriovenous malformation 1. Infrequently, the source may be an adrenal haemorrhage (AH), which may be predisposed by trauma, surgery, severe stress or sepsis.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous retroperitoneal haemorrhage in a young adult

et al. 2014

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Spontaneous retroperitoneal haemorrhage in a young adult

et al. 2014

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“…Spontaneous rupture of an ACC is considered anecdotal since, in an extensive review of the literature, we have been able to retrieve only 15 previously described cases [6][7][8][9][10][11][12][13][14][15][16][17] ( Table 2). The present case being the 16th and, to our knowledge, the very first report of a spontaneous rupture of the primary cancer and a short-term rupture of the contralateral metachronous metastasis.…”

Section: Discussionmentioning

confidence: 99%

Spontaneously metachronous ruptures of adrenocortical carcinoma and its contralateral adrenal metastasis

Polistina

Farruggio²,

Gasparin³

et al. 2015

Int Canc Conf J

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Adrenocortical carcinomas (ACCs) are rare neoplasms. In spite of its rarity, ACCs are the second most lethal endocrine cancer after anaplastic thyroid carcinomas. Currently, the only chance for a cure is an early diagnosis and a radical surgical resection. We present the case of a previously unreported bilateral adrenal hemorrhage occurring in a 59-year-old Caucasian male who was admitted to our surgical division with the diagnosis of a right retroperitoneal spontaneous hemorrhage. Imaging revealed a 10-cm ruptured right adrenal mass with no other abdominal lesions, endocrine screening results were normal, and a right adrenalectomy was performed. Pathology revealed a ruptured ACC. The postoperative period was uneventful and the patient was discharged. While recovering, 3 weeks after the operation, the patient showed the same symptoms on the contralateral side. Imaging once again revealed a retroperitoneal hemorrhage due to a 5-cm ruptured left adrenal mass. Endocrine screening showed a frank peripheral hypercortisolism and imaging showed a huge metastatic dissemination to the liver, lungs, and retroperitoneal space. An urgent left adrenalectomy was performed and pathology showed a metastatic ruptured ACC. The patient was placed in substitutive therapy but never recovered and died of penta lobar pneumonia on postoperative day 31. An extensive review of the current literature on the issue was performed. ACC is confirmed to be a lethal cancer. Rupture is the rarest clinical presentation and appears to be caused by the tumor's growth rate more than the tumor dimensions itself. The use of endocrine screening on such hemodynamically unstable patients is questionable.

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Spontaneous Adrenal Hemorrhage with Associated Masses: Etiology and Management in 6 Cases and a Review of 133 Reported Cases

et al. 2011

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Spontaneous adrenal hemorrhage is rare. When it does occur, a high level of suspicion for malignant disease or pheochromocytoma should be maintained. The possibility of a hematoma masquerading as a neoplasm should also be considered. In cases of ongoing hemorrhage, embolization may be a lifesaving temporizing measure. Acute surgical intervention should be considered in selected patients, and surgery may not be required in all patients. A cautious approach with a comprehensive biochemical and imaging work-up is advised prior to operation.

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Haemorrhagic Shock from the Spontaneous Rupture of an Adrenal Cortical Carcinoma. A Case Report

Cited by 8 publications

References 5 publications

Spontaneous retroperitoneal haemorrhage in a young adult

Spontaneous retroperitoneal haemorrhage in a young adult

Spontaneously metachronous ruptures of adrenocortical carcinoma and its contralateral adrenal metastasis

Spontaneous Adrenal Hemorrhage with Associated Masses: Etiology and Management in 6 Cases and a Review of 133 Reported Cases

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