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Acute spontaneous unilateral adrenal hemorrhage: etiology and imaging findings in six cases

Isa Félix Adôrno1, Tiago Kojun Tibana1, Guilherme Castilho Sorensen de Lima2

  • 1Hospital Universitário Maria Aparecida Pedrossian da Universidade Federal de Mato Grosso do Sul (HUMAP-UFMS), Campo Grande, MS, Brazil.

Radiologia Brasileira
|February 27, 2019
PubMed

Insights

Computed tomography (CT) revealed characteristic findings in six confirmed cases of acute adrenal hemorrhage. Early recognition of these CT features is crucial for timely diagnosis and preventing potentially fatal outcomes.

Area of Science:

  • Radiology
  • Medical Imaging
  • Emergency Medicine

Background:

  • Acute adrenal hemorrhage is a rare but potentially fatal condition.
  • Early diagnosis is critical for patient management and preventing severe complications.

Purpose of the Study:

  • To evaluate the computed tomography (CT) characteristics of confirmed acute adrenal hemorrhage.
  • To identify key imaging findings that aid in the diagnosis of adrenal hemorrhage.

Main Methods:

  • Retrospective analysis of CT findings in patients with clinically suspected and confirmed acute adrenal hemorrhage.
  • Exclusion of patients with aortic rupture and retroperitoneal hemorrhage.
  • Image interpretation by an experienced radiologist and two radiology residents.

Main Results:

  • Six cases of unilateral adrenal hemorrhage (three left, three right) were analyzed.
  • CT demonstrated rounded to oval masses altering adrenal gland anatomy.
  • Lesions measured up to 12.2 cm, with attenuation of 45-70 HU and no contrast enhancement or calcifications.

Conclusions:

  • CT findings in adrenal hemorrhage include specific mass-like appearances.
  • Radiologists' recognition of these CT presentations is vital for early diagnosis.
  • Prompt diagnosis can prevent progression to adrenal insufficiency and mortality.
Abstract

Keywords:
Adrenal glandsHemorrhageTomography, X-ray computed

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