Idiopathic adrenal hematoma mimicking neoplasia: A case report

Int J Surg Case Rep. 2016;28:15-17. doi: 10.1016/j.ijscr.2016.04.003. Epub 2016 Apr 7.


Introduction: Adrenal haemorrhage is a relatively rare condition. If there is not a specific ethology describing adrenal hematoma, then, this is termed as 'idiopathic adrenal hematoma'.

Presentation of case: We presented a case of idiopathic adrenal hematoma in this study. A 62-year-old woman was referred to our hospital for evaluation of a 40mm mass in the left upper abdominal cavity. The histopathological findings of the surgical specimen revealed a hematoma with normal adrenal tissue.

Discussion: The incidence of adrenal haemorrhage was found to be 1.1% regarding autopsy results. The Adrenal gland is highly vascular and vulnerable to haemorrhage. Before a surgical operation, it is difficult to diagnose idiopathic adrenal hematomas.

Conclusion: An adrenal hematoma should be kept in mind when adrenal masses assessing.

Keywords: Adrenal; Hematoma; Neoplasm.