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. PATIENTS AND METHODS: From our database of 75 patients who underwent adrenalectomies at our institution, we identified 3 patients who underwent adrenalectomy for adrenal tumors. The pathology report confirmed adrenal hematomas with no evidence of neoplasm. RESULTS: The patients consisted of a man presenting with abdominal pain, another man presenting with persistent hypertension, and a woman presenting with hypertension, headache, palpitations, and diaphoresis. All patients were anemic, receiving aspirin, and had previous abdominal surgeries under general anesthesia. CONCLUSION: Unilateral adrenal hematomas sometimes are indistinguishable radiologically from neoplasms. Surgery is then necessary to distinguish a hematoma from a hemorrhagic adrenal tumor.