Hemorrhage in cavernous hemangioma of the adrenal gland: US, CT and MRI appearances with pathologic correlation

Boraschi, Piero; Campatelli, A; Vito, Alessandro Di; Perri, G

doi:10.1016/0720-048x(96)81068-0

Cited by 30 publications

(32 citation statements)

References 10 publications

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“…In both our cases, the MR imaging features were similar to the findings described by Boraschi et al [14] in a case of hemorrhagic adrenal hemangioma. The images showed T1-and T2-weighted hyperintense signal in the subacute stage and gradual signal intensity loss in the chronic stage [14]; however, hemosiderin deposition could be detected in one of our cases as early as 4 weeks postoperatively.…”

Section: Discussionsupporting

confidence: 89%

Adrenal hemorrhage after orthotopic liver transplantation: MR appearance

et al. 2001

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The purpose of this paper is to describe the MR imaging findings of right adrenal hemorrhage after orthotopic liver transplantation. Twenty-seven orthotopic liver transplantation patients underwent MR studies of the liver and/or biliary system. Patients were referred to MR examination because of suspected biliary complications ( n=22) or for evaluation of mass lesions ( n=5). The standard MR protocol included T1-weighted spin-echo (SE) or gradient-recalled echo (GRE) images and T2-weighted turbo SE (TSE) images with fat suppression. In addition, cholangiography pulse sequences and/or contrast-enhanced T1-weighted images were obtained according to specific indications. In 2 patients a right adrenal mass was detected at MR imaging. Three to 4 weeks after transplantation, the lesions were markedly hyperintense on T2-weighted images and showed a hypointense capsule. Follow-up MR examinations revealed a slight decrease in size and a change in morphology. Computed tomography examinations of these 2 patients, obtained 10 weeks after transplantation, showed resolution of the hemorrhage and transformation into a cystic lesion in one case and a complete resolution of the hemorrhage and a normal right adrenal gland in the other case. Adrenal hemorrhage after liver transplantation shows typical MR features and should not be mistaken for an adrenal tumor or a postoperative abscess.

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Section: Discussionsupporting

confidence: 89%

Adrenal hemorrhage after orthotopic liver transplantation: MR appearance

et al. 2001

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“…In equivocal cases, a definitive diagnosis can be made with CT-guided needle biopsy to confirm the presence of mature adipose tissue and normal hematopoietic tissue. Adrenal hemangiomas are rare, benign, stromal tumors of the adrenal gland and are usually larger than 10 cm in diameter (46,47). When these tumors bleed, CT reveals nonenhancing areas with high to low attenuation, depending on the age of the blood.…”

Section: Kawashima Et Almentioning

confidence: 99%

Imaging of Nontraumatic Hemorrhage of the Adrenal Gland

Kawashima¹,

Sandler²,

Ernst³

et al. 1999

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“…However, calcification can occur in other adrenal tumours, including pheochromocytoma, carcinoma and adenoma. Therefore, this finding is suggestive but not pathognomonic of adrenal haemangioma 6 7. MRI has proven to be the best diagnostic tool for adrenal haemangioma to date.…”

Section: Discussionmentioning

confidence: 73%

“…However, there are some radiological features that raise the suspicion of adrenal haemangioma. The ultrasound features are not specific, not permitting the differentiation of haemangiomas from other benign lesions 6. CT scans usually display a characteristic irregular peripheral enhancement with progression to the centre of the tumour.…”

Section: Discussionmentioning

confidence: 99%

“…Adrenal haemangiomas are usually discovered as incidental radiological findings after abdominal imaging for various other reasons (incidentaloma) or as a result of dull pressure and mass-related symptoms. However, spontaneous retroperitoneal life-threatening haemorrhages from adrenal haemangioma have been reported in two cases 5 6. On microscopic analysis, adrenal haemangiomas are usually cavernous and contain peripheral dilated vascular spaces, the larger of which contain central necrosis, calcification and haemorrhages.…”

Section: Discussionmentioning

confidence: 99%

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