Spontaneous adrenal haemorrhage after catheter ablation of supraventricular tachycardia

BMJ Case Rep. 2015 Sep 23:2015:bcr2015209754. doi: 10.1136/bcr-2015-209754.


Catheter ablation is established as a first-line therapy for most patients with recurrent supraventricular tachycardia (SVT), with high success rates and very low complication rates. A 60-year-old woman developed severe right flank pain following straightforward catheter ablation for SVT. This was caused by a spontaneous right adrenal haemorrhage, which, after much delay, was eventually recognised as the cause of her symptoms. Adrenal haematomas are rare and, to the best of our knowledge, this is the first reported case of spontaneous adrenal haemorrhage occurring after any interventional cardiac procedure. Clinicians should be aware of this rare but potentially serious complication and consider it as a differential diagnosis in any patient with severe flank pain following interventional cardiac procedures, to prevent delays in diagnosis.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Diseases / drug therapy
  • Adrenal Gland Diseases / etiology
  • Adrenal Gland Diseases / pathology*
  • Analgesics, Opioid / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Catheter Ablation / adverse effects*
  • Electrocardiography
  • Female
  • Hemorrhage / drug therapy
  • Hemorrhage / etiology
  • Hemorrhage / pathology*
  • Humans
  • Middle Aged
  • Morphine / therapeutic use
  • Pain, Postoperative / drug therapy*
  • Proton Pump Inhibitors / therapeutic use
  • Tachycardia, Supraventricular / surgery*
  • Treatment Outcome


  • Analgesics, Opioid
  • Anti-Bacterial Agents
  • Proton Pump Inhibitors
  • Morphine