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Idiopathic adrenal hemorrhage.
H Kamishirado1, T Inoue, T Fujito
1Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine, Saitama, Japan.
The American Journal of the Medical Sciences
|June 1, 2000
Summary
Idiopathic adrenal hemorrhage can mimic adrenal tumors. This case highlights a growing adrenal mass initially suspected as malignancy but ultimately diagnosed as a hematoma.
Area of Science:
- Endocrinology
- Radiology
- Surgical Pathology
Background:
- Idiopathic adrenal hemorrhage is a rare condition.
- Adrenal masses require careful evaluation to differentiate benign from malignant conditions.
Observation:
- A 76-year-old woman presented with a 3 cm left adrenal tumor on computed tomography.
- The patient was on aspirin for atrial fibrillation and had normal adrenal hormone levels.
- The adrenal mass enlarged to 6 cm over 18 months, raising suspicion for malignancy.
Findings:
- Operative findings confirmed the adrenal mass was a hematoma.
- The idiopathic nature of the hemorrhage was noted.
Implications:
- Adrenal hematomas can present as enlarging adrenal masses, mimicking adrenal cancer.
- Careful radiological and clinical assessment is crucial for accurate diagnosis.
- This case underscores the importance of considering hemorrhage in the differential diagnosis of adrenal masses, especially in patients on anticoagulation.