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Hindi Case Report
Idiopathic Unilateral Adrenal Hemorrhage in a 91-Year Old Woman
Rolf D Klingenberg-Noftz1*, Benthin S1, Eggers S2, Hinze R3and Gunther Weitz4
1Department for Gastroenterology and Internal Medicine, DRK-Hospital Grevesmühlen, Klützer Strasse 13-15, 23936 Grevesmühlen, Germany
2Department for Visceral and General Surgery, DRK-Hospital Grevesmühlen, Klützer Strasse 13-15, 23936 Grevesmühlen, Germany
3Department of Pathology, HELIOS Clinic Schwerin, Wismarsche Strasse 393-397, 19049 Schwerin, Germany
4Medical Department I, Gastroenterology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany
- *Corresponding Author:
- Rolf D. Klingenberg-Noftz, MD
Department for Gastroenterology and Internal Medicine
DRK-Hospital Grevesmühlen
Klützer Strasse 13-15,
23936 Grevesmühlen, Germany
Tel: +49 3881 726 601
Fax: +49 3881 726 609
E-mail: rolf.klingenberg-noftz@drk-kh-gvm.de
Received date: June 6, 2015; Accepted date: June 17, 2015; Published date: June 24, 2015
Citation: Klingenberg-Noftz RD, Benthin S, Eggers S, Hinze R, Weitz G (2015) Idiopathic Unilateral Adrenal Hemorrhage in a 91-Year Old Woman. J Gastrointest Dig Syst 5:300. doi:10.4172/2161-069X.1000300
Copyright: ©2015 Klingenberg-Noftz RD, et al. 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
A 91-year old woman was referred to our hospital for evaluation of a palpable mass in the left hemiabdomen. A marked anemia was found on admission. Imaging revealed an inhomogeneous mass of the left adrenal gland with a diameter of 19 cm. Due to a lack of perfusion in contrast enhanced ultrasound and the clear delineation to neighbouring organs on CT scan, an adrenal hemorrhage was diagnosed. A further fall of hemoglobin level prompted a resection of the mass. The mass consisted of a fibrous wall surrounding hematomas of different age. A small rest of the otherwise normal adrenal gland was found adjacent to the wall. The patient fully recovered. The patient had no underlying cause for the hemorrhage such as trauma, tumor or any coagulopathy including the intake of anticoagulants. Hence, we describe a rare case of spontaneous unilateral adrenal hemorrhage in an elderly woman that was successfully treated by surgery.
