Unilateral idiopathic adrenal hematomas with a preoperative diagnosis of indeterminate adrenal tumors
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Updated: Jul 6, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Charles Vincent1, Joshua B Brewster, Vijay Kedar
1Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana 46202-5289, USA.
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.
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