title: [Idiopathic adrenal hemorrhage: a case report].
abstract: A 77-year-old man with a low grade fever persisting for 30 days consulted a local physician. A computed tomographic scan of the abdomen showed a mixed density mass on the left adrenal gland. He was referred to our hospital for further examination. Hormonal assay demonstrated a slightly high level of noradrenalin in the serum (18 pg/ml) and vanillyl mandelic acid in the urine (6.2 ng/ml). Magnetic resonance imaging revealed a heterogeneous mass lesion 3 cm in diameter with a high signal intensity on both T1 and T2 weighted images. Angiography showed a hypovascular mass in the supra-renal region suggesting an adrenal tumor or malignancy. Left adrenalectomy combined with en bloc nephrectomy was performed because of severe adhesion. Histologic evaluation showed hematoma without malignant cells due to idiopathic adrenal hemorrhage.
authors.affiliation: Department of the Urology, Osaka Medical College.
authors.forename: T
authors.initials: T
authors.lastname: Sakamoto
authors.forename: H
authors.initials: H
authors.lastname: Azuma
authors.forename: Y
authors.initials: Y
authors.lastname: Iwamoto
authors.forename: N
authors.initials: N
authors.lastname: Segawa
authors.forename: T
authors.initials: T
authors.lastname: Ubai
authors.forename: H
authors.initials: H
authors.lastname: Noumi
authors.forename: H
authors.initials: H
authors.lastname: Ueda
authors.forename: Y
authors.initials: Y
authors.lastname: Katsuoka
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000601:surgery; D000311:Adrenal Glands / Q000098:blood supply / Q000000981:diagnostic imaging; D000368:Aged; D019786:Gadolinium DTPA; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography
chemical_list: D019786:Gadolinium DTPA