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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm
Yi Th'ng Seow1,2, Zi Qin Ng2, Sze Ling Wong3,2
1Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia yithngseow@gmail.com.
Abstract:
Spontaneous unilateral adrenal haemorrhage (AH) is extremely rare. Its presentation is usually non-specific and requires a high degree of suspicion as it is associated with high morbidity and mortality if diagnosis is delayed. Hereby, we present a case of 67-year-old man with significant cardiac history presented with right-sided chest pain and non-specific abdominal pain. He was previously treated for non-ST elevation myocardial infarction 5 days ago prior to the current presentation. CT scan of abdomen and pelvis demonstrated a right-sided active AH. The patient subsequently underwent digital subtraction angiography. Angio-embolisation was attempted for the pseudoaneurysm but failed due to spasm of the vessel. He was managed conservatively and discharged after clinical improvement. Clinic review 6 months later showed significant size reduction of the pseudoaneurysm.
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