title: [ADRENAL HEMORRHAGE: 6 CASES AND A REVIEW OF 57 REPORTED CASES].
abstract: OBJECTIVE
  The guidelines on adrenal hemorrhage has not established in Japan. In this article, we discuss the management of adrenal hemorrhage.
  
  
  OBJECTIVE
  We experienced 6 patients from November 2004 to September 2013 in The University of Tokyo Hospital and The Fraternity Memorial Hospital, and we searched 57 cases already reported in Japan by using Japan Medical Abstracts Society (http://search.jamas.or.jp/). So we analyzed total 63 adrenal hemorrhage cases in Japan.
  
  
  RESULTS
  In 63 cases, 5 cases were performed TAE, 3 cases were performed emergent surgeries, 13 cases were managed conservatively and elective surgeries were performed in the other cases. 5 cases were fulfilled criteria for Hb < 10 g/dl and the maximum diameter of the hematoma > 10 cm. Of 5 cases, 4 cases were performed emergent hemostasis.
  
  
  CONCLUSIONS
  Adrenal hemorrhages caused by metastatic tumor tend to be serious anemia. In addition, the most patients with adrenal hemorrhages, who had Hb < 10 g/dl and the maximum diameter of the hematoma > 10 cm, required immediate medical treatment, e.g. TAE or surgical hemostasis.
authors.forename: Yukimasa
authors.initials: Y
authors.lastname: Matsuzawa
authors.forename: Shigekatsu
authors.initials: S
authors.lastname: Maekawa
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nishimatsu
authors.forename: Katsutoshi
authors.initials: K
authors.lastname: Takahashi
authors.forename: Aya
authors.initials: A
authors.lastname: Niimi
authors.forename: Yoshimitsu
authors.initials: Y
authors.lastname: Komemushi
authors.forename: Hideyo
authors.initials: H
authors.lastname: Miyazaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Murata
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Hirano
authors.forename: Takashi
authors.initials: T
authors.lastname: Kawamura
authors.forename: Yukio
authors.initials: Y
authors.lastname: Homma
mesh_terms: D000307:Adrenal Gland Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed