alexa Unilateral Adrenal Hematoma with Associated Giant Mass:

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Case Report

Unilateral Adrenal Hematoma with Associated Giant Mass: A Report of Two Cases

Yoshitaka Uji*

Department of Gastrointestinal Surgery, Shin-Koga Hospital, Japan

*Corresponding Author:
Yoshitka Uji
Department of Gastrointestinal Surgery
Shin-Koga Hospital, Japan
Tel: +81-942-38-2222
E-mail: [email protected]

Received date: June 03, 2017; Accepted date: June 12, 2017; Published date: June 22, 2017

Citation: Uji Y (2017) Unilateral Adrenal Hematoma with Associated Giant Mass: A Report of Two Cases. Med Rep Case Stud 2: 140. doi: 10.4172/2572-5130.1000140

Copyright: © 2017 Uji Y. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abstract Back ground: Adrenal hematoma is a rare yet potentially life-threatening event that occurs both in traumatic conditions and in a variety of nontraumatic conditions. In the present study, we report the two cases with idiopathic unilateral adrenal hematoma, presenting as a huge adrenal mass. Case presentation: Case 1 involved a 72-year-old man who was complaining of upper abdominal pain. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) demonstrated a giant mixed density tumor in the right retroperitoneal space. Based on the radiological findings, the preoperative differential diagnoses included adrenal cancer, pheochromocytoma, an adrenal hematoma, and a primary retroperitoneal tumor. To remove the tumor we carried out an adrenalectomy on the right adrenal gland, resecting a specimen measuring 15 × 13.5 cm. The histopathological findings of the specimen revealed a hematoma with normal adrenal tissue. Case 2 involved a 53-year-old woman who complained of an uncomfortable feeling in her left upper abdomen. An Abdominal CT and MRI showed that a retroperitoneal tumor had formed a multicystic lesion. Due to the tumor’s size, the left renal vein had become compressed and therefore, was resected by left adrenalectomy. The resected specimen was 10.5 × 10 cm in size and revealed an adrenal hematoma. In the absence of any obvious etiology, the diagnoses in both cases were idiopathic adrenal hematoma. Conclusion: An accurate diagnosis of idiopathic adrenal hematoma is quite difficult to make prior to surgery. Some imaging modalities are useful in generating a differential diagnosis


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