title: Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture.
abstract: Serious bleeding from a ruptured adrenal mass limits preoperative diagnostics and can necessitate urgent laparotomy to control blood loss. A 45-year old man underwent an emergency laparotomy due to severe retroperitoneal haemorrhage causing hypovolaemia. Detailed retroperitoneal dissection after splenectomy and clamping of the abdominal aorta revealed bleeding from a ruptured haemangioma of the left adrenal gland. Following a left adrenalectomy, the patient returned to a stable haemodynamic state. Adrenal haemangiomas are rare, but may cause spontaneous life-threatening haemorrhage.
authors.affiliation: Department of Surgery and Surgical Nursing, Medical University of Lublin, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Paluszkiewicz
authors.forename: Iwona
authors.initials: I
authors.lastname: Ambroziak
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Hołyńska-Dąbrowska
authors.forename: Zofia
authors.initials: Z
authors.lastname: Siezieniewska-Skowrońska
authors.forename: Andrzej
authors.initials: A
authors.lastname: Paluszkiewicz