Haemorrhagic shock from solid tumours of the adrenal gland: a case of bleeding primary adrenal lymphoma

Bhattacharya, Pratik; Zakaria, Rasheed; Stonelake, Stephen; Butler, Bruce D; Sarma, Dipanka; Maheswari, M; Zaman, S

doi:10.1308/rcsann.2020.7040

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Finally, CT angiography or MRI did not reveal any specific vascular anatomical abnormality or tumor process (4). In addition, adrenal masses are rarely accompanied by bleeding (9).…”

Section: Discussionmentioning

confidence: 99%

An unusual cause of abdominal pain: spontaneous bilateral adrenal hemorrhage

Rodriguez Tebar,

Panza-Nduli,

Gubin

et al. 2023

AGEB

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Bilateral adrenal hemorrhage (BAH) is a rare condition that can lead to acute adrenal insufficiency and death if not recognized and treated promptly. We report the case of a 30-year-old male who presented to the emergency department with acute abdominal pain, nausea, and vomiting. On emergency room admission, the first abdominal CT revealed normal adrenal glands without enlargement, but with the development of hypotension and hypoglycemia, a second CT performed four days later showed enlargement due to hemorrhage in both adrenals. The diagnosis of BAH associated with acute adrenal insufficiency was retained. Prompt treatment with intravenous and oral corticosteroids resulted in successful conservative management. We describe the clinical, biological, radiological and etiological features of this condition based on a review of the literature.

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“…Finally, CT angiography or MRI did not reveal any specific vascular anatomical abnormality or tumor process (4). In addition, adrenal masses are rarely accompanied by bleeding (9).…”

Section: Discussionmentioning

confidence: 99%

An unusual cause of abdominal pain: spontaneous bilateral adrenal hemorrhage

Rodriguez Tebar,

Panza-Nduli,

Gubin

et al. 2023

AGEB

View full text Add to dashboard Cite

show abstract

“…Spontaneous bleeding associated with solid adrenal masses is rare. The number of reported cases in the literature was 139 till 2012 (17), and there have been only sporadic cases reported since then (18,19). Primary adrenocortical cancer represents a minority among these, with approximately 7% of all events (17).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Complete Necrosis of a Large Adrenocortical Cancer and Liver Metastases Achieved by Selective Arterial Embolization: A Case Study and Review of Literature

et al. 2021

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There is very limited experience regarding the interventional radiological treatment of adrenocortical cancer (ACC). We present the case of a 57-year-old female patient with a large, potentially unresectable left-sided ACC and two hepatic metastases. Both liver tumors were effectively treated by trans-arterial embolization (TAE), followed by TAE of the bulky primary tumor as a life-saving intervention necessitated by severe intratumoral bleeding. Surgical removal of the primary tumor revealed complete necrosis. The patient is considered tumor free after 3.5 years. To the best of our knowledge, this is the first report to show that even a primary ACC may be completely ablated by selective embolization, and the fourth to prove the curative potential of liver TAE for ACC metastases. This case highlights the potential of selective embolization in ACC treatment.

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Haemorrhagic shock from solid tumours of the adrenal gland: a case of bleeding primary adrenal lymphoma

Cited by 2 publications

References 6 publications

An unusual cause of abdominal pain: spontaneous bilateral adrenal hemorrhage

An unusual cause of abdominal pain: spontaneous bilateral adrenal hemorrhage

Case Report: Complete Necrosis of a Large Adrenocortical Cancer and Liver Metastases Achieved by Selective Arterial Embolization: A Case Study and Review of Literature

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