title: Spontaneous rupture of the adrenal artery successfully treated using the endovascular approach: a report of 2 cases.
abstract: Adrenal artery rupture is a rare cause of retroperitoneal hemorrhage. We describe 2 cases of spontaneous rupture of the adrenal artery successfully treated using endovascular coil embolization.
  
  
  METHODS
  Two patients presented with sudden onset abdominal pain and hemodynamic compromise. In both the cases computed tomography (CT) showed a large retroperitoneal hemorrhage. Aortography confirmed bleeding from the right inferior adrenal artery in the first patient and the left inferior adrenal artery in the second patient. Both patients were treated with endovascular coil embolization. Subsequent CT scans demonstrated a reduction in the size of the retroperitoneal hematoma with no active bleeding.
  
  
  CONCLUSIONS
  Endovascular treatment of a ruptured adrenal artery is effective, safe, and permits organ preservation.
authors.affiliation: Department of General Surgery, Worcestershire Royal Hospital, Worcester, West Midlands, UK. abhilasha.patel@doctors.org.uk
authors.forename: Abhilasha
authors.initials: A
authors.lastname: Patel
authors.forename: Richard
authors.initials: R
authors.lastname: Downing
authors.forename: Santhosh
authors.initials: S
authors.lastname: Vijay
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000311:Adrenal Glands / Q000098:blood supply*; D000368:Aged; D001027:Aortography / Q000379:methods; D001158:Arteries / Q000503:physiopathology; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D006439:Hemodynamics; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome