Perinephric hemorrhage secondary to adrenal myelolipoma case report

Sussman, Steven K.; Rosshirt, Werner

doi:10.1016/0899-7071(91)90125-f

Cited by 9 publications

(4 citation statements)

References 9 publications

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“…Adrenal masses that are homogeneous and measure less than 10 HU are usually benign adenomas. However, this imaging criterion is rarely useful in hemorrhagic patients, because blood will give the tumors a heterogeneous, hyperdense appearance [62]. Magnetic resonance imaging has been reported to be more accurate than other imaging modalities for diagnosing adrenal hematoma, with high signal intensity on T1‐weighted images [33, 61].…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…As with all adrenal masses, a biochemical work‐up should be performed to rule out a hormonally active tumor [18]. These tests should evaluate both glucocorticoid and catecholamine excess [62, 64].…”

Section: Discussionmentioning

confidence: 99%

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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“…Hypertension is due to compression of the renal artery or may be coincidental as these lesions are commonly seen in the elderly. Rarely, acute symptoms occur due to retroperitoneal [10] or perinephric [11] another fairly common finding [6], is suggested to be sec ondary to concomitant renal stones or renal cell carcino ma as observed in 1 of our cases. In contrast, 5 of our patients were symptomatic, and only in 1 case was the mass detected incidentally.…”

Section: Discussionmentioning

confidence: 97%

Symptomatic Adrenal Myelolipoma

Sharma¹,

Kashyap²,

Sharma³

et al. 1997

Urol Int

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Seven cases of adrenal myelolipoma comprising 5.8% of total adrenal tumors are described with a male-to-female ratio of 1.3:1. Five were symptomatic, of which 4 had a palpable abdominal mass, 2 cases detected incidentally were associated with carcinoma of the uterine cervix and renal cell carcinoma, respectively. The average age and duration of symptoms at presentation were 56 years (range 38–70 years) and 3.16 months (range 1–9 months). A CT scan was done in all cases, of which 5 showed a nonenhancing mass lesion with fat density diagnosed as adrenal myelolipoma. However, in 1 case radiological diagnosis of liposarcoma was maintained because of the huge size of the lesion whereas in another case the lesion was missed because of associated renal cell carcinoma. Interestingly the right adrenal was involved in all cases and the weight varied from 7 to 2,000 g. No recurrence was noted in the follow-up period (ranging from 3 months to 10 years).

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“…[ 34 , 35 ] CT imaging criteria and characterization of adrenal masses in the presence of hemorrhage are highly variable. [ 5 , 36 ] Differentiating between tumoral and non-tumoral hemorrhage may be difficult. The presence of intralesional calcifications, enhancement, and hypermetabolic activity on PET may be indicative of an underlying tumor.…”

Section: Adrenal Emergenciesmentioning

confidence: 99%

Multimodality imaging of adrenal gland pathologies: A comprehensive pictorial review

Paloka

Gopireddy

Virarkar

et al. 2022

JCIS

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The assessment of acute abdominal and pelvic emergencies typically involves a multimodal approach consisting of plain radiographs, ultrasound, computed tomography (CT), and rarely magnetic resonance imaging (MRI). Although MRI is not traditionally employed in acute care settings, there are several instances in which MRI provides superior functional and prognostic information. In this manuscript, we highlight multimodal findings of adrenal gland emergencies: Hemorrhage, infarction, and infection. The purpose of our study is to highlight significant findings in various modalities, including CT, MRI, ultrasound, and PET/CT. Due to the scarcity of published data and limited clinical use, primary ultrasound findings are limited in our multimodal review. In conclusion, we find that synergistic use of CT, MRI, and functional imaging provides an effective tool for evaluation and management of adrenal pathology.

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Perinephric hemorrhage secondary to adrenal myelolipoma case report

Cited by 9 publications

References 9 publications

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

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

Symptomatic Adrenal Myelolipoma

Multimodality imaging of adrenal gland pathologies: A comprehensive pictorial review

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