Related Experiment Video
Updated: Jul 29, 2025
05:59
Murine Model of Metastatic Liver Tumors in the Setting of Ischemia Reperfusion Injury
Published on: August 30, 2019
11.7K
[Spontaneous retroperitoneal hemorrhage]
Jon Bjarnason1, Luis Fernando Bazan Asencios2, Hjalti Mar Thorisson2
1Department of Interventional Radiology, Landspitali National University Hospital, 2Department of Radiology, Landspitali National University Hospital.
Laeknabladid
|May 26, 2023
Summary
A patient experienced sudden abdominal pain due to a retroperitoneal hemorrhage, initially suspected to be an adrenal tumor. Subsequent embolization of a visceral pseudoaneurysm revealed the bleeding was spontaneous.
Area of Science:
- Adrenal gland pathology
- Vascular emergencies
- Diagnostic imaging
Background:
- Sudden abdominal pain can indicate serious underlying conditions.
- Retroperitoneal hemorrhage requires prompt diagnosis and management.
- Adrenal gland tumors are a potential cause of abdominal bleeding.
Observation:
- A 50-year-old male presented with acute abdominal pain, shock, and tachycardia.
- Initial CT revealed retroperitoneal hemorrhage with a suspected left adrenal tumor.
- A rebleed occurred, with CT identifying a visceral pseudoaneurysm of the left middle adrenal artery.
Findings:
- The visceral pseudoaneurysm was successfully embolized.
- Follow-up MRI showed complete hematoma reabsorption.
- No adrenal tumor was identified, suggesting a spontaneous etiology for the hemorrhage.
Implications:
- Spontaneous retroperitoneal hemorrhage can mimic adrenal tumors.
- Visceral artery pseudoaneurysms are a critical diagnosis in abdominal bleeding.
- Embolization is an effective treatment for visceral pseudoaneurysms.
- Advanced imaging is crucial for accurate diagnosis and follow-up.
