Unilateral adrenal haemorrhage following systemic thrombolysis.
We report a case of unilateral adrenal bleeding, worsened or initiated by systemic thrombolytic therapy given for a suspected myocardial infarction. Initial clinical diagnosis was ruptured aortic aneurysm or aortic dissection. A preoperative contrast-enhanced computer tomography (CT) scan showed a possible bleeding from the left adrenal gland. An emergency left subcostal retroperitoneal approach revealed a ruptured and bleeding adrenal gland and its arteries were ligated.
Steensrud
Tor
T
Department of Cardio-Thoracic and Vascular Surgery, University Hospital North Norway and Institute of Clinical Medicine, University of Tromsø, Breivika, P.O. Box 102/exp, N-9038 Tromsø, Norway. tor.steensrud@unn.no
Müller
Lil-Sofie Ording
LS
Sørlie
Dag
D
D000307:Adrenal Gland Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D006470:Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures