Conservative Treatment for Idiopathic Adrenal Hemorrhage Tracked by a Long-term Series of CT Images.
A 55-year-old man was transported to our hospital after a sudden onset of left lower abdominal pain while driving. Computed tomography (CT) of the abdominal region revealed an extensive iso-intense signal region that had a maximum area of 14×15 cm, which we treated conservatively. A series of follow-up CT images showed the gradual decrease of the left peritoneal mass, while continuity with the left adrenal gland became apparent. He was diagnosed with idiopathic adrenal hemorrhage. Adrenal hemorrhage presenting with huge retroperitoneal tumors is rare, and most cases are treated surgically. Therefore, CT images with conservative treatment are rare, holding both clinical interest and significance.
Department of Endocrinology and Diabetes, National Hospital Organization, Nagoya Medical Center, Japan.
Tsutomu
T
Yamada
Fumiko
F
Yamakawa
Xia
X
Cao
Ayako
A
Fukui
Machiko
M
Tajitsu
Junko
J
Nagai
Yuko
Y
Yambe
Takashi
T
Murase
Masashi
M
Saito
Tomoyuki
T
Tsuzuki
D000307:Adrenal Gland Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D000311:Adrenal Glands / Q000000981:diagnostic imaging; D000072700:Conservative Treatment; D006470:Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed