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Spontaneous Unilateral Adrenal Hemorrhage: Computerized Tomography and Magnetic Resonance Imaging Findings in 8 Cases

1995; Lippincott Williams & Wilkins; Volume: 154; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(01)66738-7

1527-3792

Christine Hoeffel, P. Legmann, J P Luton, Y Chapuis, P. Fayet-Bonnin,

Cancer, Hypoxia, and Metabolism

No AccessJournal of UrologyClinical Urology: Original Article1 Nov 1995Spontaneous Unilateral Adrenal Hemorrhage: Computerized Tomography and Magnetic Resonance Imaging Findings in 8 Cases C. Hoeffel, P. Legmann, J.P. Luton, Y. Chapuis, and P. Fayet-Bonnin C. HoeffelC. Hoeffel , P. LegmannP. Legmann , J.P. LutonJ.P. Luton , Y. ChapuisY. Chapuis , and P. Fayet-BonninP. Fayet-Bonnin View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66738-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report and discuss the imaging features of 8 cases of spontaneous unilateral adrenal hematomas, a rare lesion. Materials and Methods: Computerized tomography (CT) was done in 8 cases, magnetic resonance imaging (MRI) in 5, and CT and MRI in 5. Imaging findings were reviewed and correlated with histological findings in all 8 cases. Results: MRI was the most accurate imaging modality and showed variable appearances. On pathological evaluation the hematomas were old and organized. No contrast enhancement was noted on CT or MRI. Conclusions: One must not consider the diagnosis of spontaneous adrenal hematoma only as superimposed on a phechromocytoma or malignant lesion in the case of an incidentally discovered large adrenal mass with normal biological findings. MRI signs of adrenal hemorrhage and the failure of enhancement of such a mass should strongly suggest adrenal hematoma. References 1 : CT and ultrasound features of post-traumatic adrenal hemorrhage. J. Comput. Assist. Tomogr.1987; 11: 112. Google Scholar 2 : Post-traumatic hematoma simulating a left-sided adrenal gland tumor. Bildgebung1990; 57: 39. Google Scholar 3 : Clinical manifestations of adrenal hemorrhage. Amer. J. Surg.1974; 128: 219. Google Scholar 4 : Adrenal hemorrhage after liver transplantation. Radiology1990; 176: 85. Google Scholar 5 : Idiopathic spontaneous adrenal hematoma in adults: echography and x-ray computed tomography. Five cases. Ann. d'Urol.1987; 21: 141. Google Scholar 6 : Unilateral adrenal apoplexy. Report of a case. J. Mt. Sinai Hosp.1945; 12: 137. Google Scholar 7 : Hematome spontane unilateral de la surrenale gauche. Etude anatomo-clinique d'un cas d'evolution subaigue et favorable, avec revue de la litterature. Ann. Med. Intern.1978; 129: 49. Google Scholar 8 : Sonographic diagnosis of a large hemorrhagic adrenal cyst in an adult. J. Clin. Ultrasound1987; 15: 194. Google Scholar 9 : The syndrome of haemorrhagic suprarenal infarction. Brit. Med. J.1942; 2: 687. Google Scholar 10 : Adrenal apoplexy. Amer. J. Surg.1942; 55: 44. Google Scholar 11 : Report of case of acute hemorrhagic adrenalitis. J. Urol.1946; 55: 1. Abstract, Google Scholar 12 : Die spontane Nebennierenblutung im Erwachsenenalter. Urologe1986; 25: 343. Google Scholar 13 : Hematome unilateral de la surrenale. Revue de la litterature. A propos d'une observation. J. d'Urol.1990; 96: 399. Google Scholar 14 : MR imaging of bilateral adrenal hemorrhage. J. Comput. Assist. Tomogr.1988; 12: 1054. Google Scholar 15 : Benign and malignant adrenal masses: CT distinction with attenuation coefficients, size, and observer analysis. Radiology1991; 179: 415. Google Scholar 16 : CT of the adrenal glands. Sem. Roentgen.1988; 23: 288. Google Scholar 17 : Methods of diagnosis of acute adrenal hemorrhage complicating anticoagulant therapy-abdominal CAT scanning. Wisconsin Med. J.1981; 80: 25. Google Scholar 18 : Bilateral adrenal hemorrhage associated with prior steroid use: CT diagnosis. J. Canad. Ass. Rad.1985; 36: 58. Google Scholar 19 : CT findings in bilateral adrenal enlargement. Jap. J. Clin. Rad.1990; 35: 619. Google Scholar 20 : Magnetic resonance imaging of the adrenal glands. Radiographics1987; 7: 343. Google Scholar 21 : Evaluation of adrenal masses in oncologic patients: dynamic contrast-enhanced MR vs CT. J. Comput. Assist. Tomogr.1991; 15: 104. Google Scholar 22 : Traumatic adrenal hemorrhage: radiologic findings. Radiology1988; 169: 701. Google Scholar 23 : Simultaneous renal vein thrombosis and bilateral adrenal hemorrhage: MR demonstration. J. Comput. Assist. Tomogr.1986; 10: 681. Google Scholar 24 : Magnetic resonance imaging of central nervous system haemorrhage. Aust. Rad.1993; 37: 161. Google Scholar Departments of Radiology A, Endocrinology and Surgery, Hopital Cochin, Paris, France.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 154Issue 5November 1995Page: 1647-1651 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information C. Hoeffel More articles by this author P. Legmann More articles by this author J.P. Luton More articles by this author Y. Chapuis More articles by this author P. Fayet-Bonnin More articles by this author Expand All Advertisement PDF downloadLoading ...