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[ADRENAL HEMORRHAGE: 6 CASES AND A REVIEW OF 57 REPORTED CASES]

Yukimasa Matsuzawa, Shigekatsu Maekawa, Hiroaki Nishimatsu

    Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
    |September 30, 2015
    PubMed

    Insights

    Adrenal hemorrhage management in Japan remains unclear. This study analyzed 63 cases, finding that severe anemia and large hematomas necessitate prompt treatment like transcatheter arterial embolization (TAE) or surgery.

    Area of Science:

    • Endocrinology
    • Radiology
    • Surgical Oncology

    Context:

    • Adrenal hemorrhage guidelines are not established in Japan.
    • A review of 63 adrenal hemorrhage cases in Japan was conducted.
    • Data was collected from The University of Tokyo Hospital, The Fraternity Memorial Hospital, and Japan Medical Abstracts Society.

    Purpose:

    • To discuss the management of adrenal hemorrhage in Japan.
    • To analyze treatment strategies for adrenal hemorrhage based on case studies.

    Summary:

    • Out of 63 cases, treatments included transcatheter arterial embolization (TAE), emergent surgery, conservative management, and elective surgery.
    • Five cases met criteria for severe anemia (Hb < 10 g/dl) and large hematoma (diameter > 10 cm).
    • Four of these five severe cases required emergent hemostasis.

    Impact:

    • Adrenal hemorrhages, particularly those caused by metastatic tumors, can lead to severe anemia.
    • Patients with significant anemia and large adrenal hematomas necessitate prompt medical intervention.
    • Effective management strategies, including TAE and surgical hemostasis, are crucial for improving patient outcomes.
    Abstract

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