Acute hemorrhage into adrenal pseudocyst presenting with shock: diagnostic dilemmas--report of three cases and review of literature.
We report three cases of acutely bleeding adrenal pseudocysts presenting as hemorrhagic shock. Pregnancy was associated in two cases. The diagnostic dilemmas are discussed with special reference to their unusual presentations, diagnosis, and treatment. We believe that our cases, complicated by intracystic hemorrhage, may be related to pregnancy.
Sivasankar
Amarapathy
A
Department of Surgical Gastroenterology, Stanley Medical College Hospital, Chennai, Tamilnadu, India.
Jeswanth
Sathyanesan
S
Johnson
Maria Antony
MA
Ravichandran
Palaniappan
P
Rajendran
Shanmugasundaram
S
Kannan
Devy Gounder
DG
Surendran
Rajagopal
R
D000307:Adrenal Gland Diseases / Q000150:complications* / Q000175:diagnosis*; D000311:Adrenal Glands / Q000473:pathology*; D000328:Adult; D003560:Cysts / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis; D012771:Shock, Hemorrhagic / Q000150:complications* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome