title: Unilateral idiopathic adrenal hematomas with a preoperative diagnosis of indeterminate adrenal tumors.
abstract: OBJECTIVE
  To identify the clinical and radiologic features of unilateral adrenal hematomas in adults.
  
  
  METHODS
  From our database of 75 patients who underwent adrenalectomies at our institution, we identified 3 patients who underwent adrenalectomy for adrenal tumors. The pathology report confirmed adrenal hematomas with no evidence of neoplasm.
  
  
  RESULTS
  The patients consisted of a man presenting with abdominal pain, another man presenting with persistent hypertension, and a woman presenting with hypertension, headache, palpitations, and diaphoresis. All patients were anemic, receiving aspirin, and had previous abdominal surgeries under general anesthesia.
  
  
  CONCLUSIONS
  Unilateral adrenal hematomas sometimes are indistinguishable radiologically from neoplasms. Surgery is then necessary to distinguish a hematoma from a hemorrhagic adrenal tumor.
authors.affiliation: Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana 46202-5289, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Vincent
authors.forename: Joshua B
authors.initials: JB
authors.lastname: Brewster
authors.forename: Vijay
authors.initials: V
authors.lastname: Kedar
authors.forename: Chandru P
authors.initials: CP
authors.lastname: Sundaram
mesh_terms: D000307:Adrenal Gland Diseases / Q000175:diagnosis* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis; D000315:Adrenalectomy; D000368:Aged; D000740:Anemia / Q000150:complications; D001241:Aspirin / Q000627:therapeutic use; D000077144:Clopidogrel; D003324:Coronary Artery Disease / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011300:Preoperative Care; D012189:Retrospective Studies; D015607:Stents; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
chemical_list: D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin