Radiological treatment of a spontaneously ruptured inferior adrenal artery aneurysm.
BACKGROUND
A 70-year-old man with a history of hypertension presented with severe epigastric discomfort that radiated to his back. CT revealed cystic kidney disease and a large retroperitoneal hemorrhage, and CT angiography identified an active bleeding point in the region of the left adrenal gland. Selective left renal angiography identified a small inferior adrenal artery aneurysm with active hemorrhage. The patient underwent successful transcatheter embolization with microcoils and polyvinyl alcohol microparticles to control the bleeding.


METHODS
Blood tests, urinalysis, electrocardiography, triphasic CT with CT angiography.


METHODS
Ruptured left inferior adrenal artery aneurysm.


RESULTS
Access to the inferior adrenal artery was achieved with a microcatheter, followed by transcatheter embolization using a combination of polyvinyl alcohol microparticles distally and microcoils proximally to the aneurysm.
Department of Urology, Royal Hampshire County Hospital, Romsey Road, Winchester, Hampshire, UK.
James
J
Manners
Rajinder
R
Singh
Andrew
A
Page
Andrew
A
Adamson
Duncan
D
McLean
D000311:Adrenal Glands / Q000098:blood supply*; D000368:Aged; D017542:Aneurysm, Ruptured / Q000628:therapy*; D001158:Arteries; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D015641:Radiography, Interventional