Unilateral Idiopathic Adrenal Hematomas with a Preoperative Diagnosis of Indeterminate Adrenal Tumors

摘要

Purpose: To identify the clinical and radiologic features of unilateral adrenal hematomas in adults.nPatients and Methods: From our database of 75 patients who underwent adrenalectomies at our institution,nwe identified 3 patients who underwent adrenalectomy for adrenal tumors. The pathology report confirmednadrenal hematomas with no evidence of neoplasm.nResults: The patients consisted of a man presenting with abdominal pain, another man presenting withnpersistent hypertension, and a woman presenting with hypertension, headache, palpitations, and diaphoresis.nAll patients were anemic, receiving aspirin, and had previous abdominal surgeries under generalnanesthesia.nConclusion: Unilateral adrenal hematomas sometimes are indistinguishable radiologically from neoplasms.nSurgery is then necessary to distinguish a hematoma from a hemorrhagic adrenal tumor