Adrenal Hematoma: A Report of Three Cases Pages 117-121

Nora Soumeya Fedala1, Ali el Mahdi Haddam2, Farida Chentli1, Radhia Si Youcef3 and Nadia Kalafat1

1Department of Endocrinology, Bab el oued Hospital, University of Medicine, Algeria; 2Department of Endocrinology, Bologhine Hospital, University of Medicine, Algeria; 3Department of Chemistry, Bab el oued Hospital, University of Medicine, Algeria

DOI: http://dx.doi.org/10.12970/2310-9971.2014.02.03.1

Abstract: Adrenal hematomas are uncommon and may due to multiple causes. They may be spontaneous or secondary to trauma, subjacent tumor, underlying to iatrogenic cause or anti phospholipid antibody syndrome. We report the case of three patients seen for acute abdominal pain (n=2) and hemorrhagic shock (n = 1), that the morphological examination showed the presence of an adrenal hematoma. This was secondary to thoracic abdominal trauma in one case. In the other two cases, he revealed a malignant lesion underlying the outset in a patient (malignant non-functional pheochromocytoma) and in the radiological monitoring (adrenocortical carcinoma) in the other case.
Keywords: Adrenal hematoma, tumor, trauma, adrenal CTscan. Read more