Unilateral idiopathic adrenal hematomas with a preoperative diagnosis of indeterminate adrenal tumors.
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.
Vincent
Charles
C
Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana 46202-5289, USA.
Brewster
Joshua B
JB
Kedar
Vijay
V
Sundaram
Chandru P
CP
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
D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D001241:Aspirin