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Spontaneous intra-adrenal massive hematoma: possible extreme evolution of a non-secreting untreated adrenal adenoma.
J Surg Case Rep. 2020 Jun; 2020(6):rjaa185.JS

Abstract

The spontaneous adrenal hematoma is a rare event. An 83-year-old male patient presented a 26-cm asymptomatic retroperitoneal mass of doubtful renal-adrenal origin. He had been evaluated 10 years before for an adrenal incidentaloma of 2.3 cm and had refused surgery when it had reached 7 cm. Later, the mass enlarged to 26 cm and was surgically removed through an open anterior approach. The histopathology showed a solid 4 kg mass of fibrinoid-hemorrhagic material, partially necrotic, mixed with adrenal tissue, with a well-vascularized capsule. No relapse is present at 6-month follow-up. This is the largest case described of spontaneous intra-adrenal hematoma in a case with previous non-secreting adrenal adenoma. The hematoma (a 4 kg mass) developed 10 years after the first diagnosis and exposed the patient to potential damage of the surrounding organs and to high-risk abdominal surgery. Long-term follow-up of non-secreting adrenal adenomas should be recommended.

Authors+Show Affiliations

Urological Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, 35121 Padua, Italy.Urological Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, 35121 Padua, Italy.Urological Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, 35121 Padua, Italy.Department of Medicine, Section of Pathology, University of Padua, 35121 Padua, Italy.Urological Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padua, 35121 Padua, Italy.No affiliation info available

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32595929

Citation

Mancini, Mariangela, et al. "Spontaneous Intra-adrenal Massive Hematoma: Possible Extreme Evolution of a Non-secreting Untreated Adrenal Adenoma." Journal of Surgical Case Reports, vol. 2020, no. 6, 2020, pp. rjaa185.
Mancini M, Leone N, Iafrate M, et al. Spontaneous intra-adrenal massive hematoma: possible extreme evolution of a non-secreting untreated adrenal adenoma. J Surg Case Rep. 2020;2020(6):rjaa185.
Mancini, M., Leone, N., Iafrate, M., Fassina, A., & Zattoni, F. (2020). Spontaneous intra-adrenal massive hematoma: possible extreme evolution of a non-secreting untreated adrenal adenoma. Journal of Surgical Case Reports, 2020(6), rjaa185. https://doi.org/10.1093/jscr/rjaa185
Mancini M, et al. Spontaneous Intra-adrenal Massive Hematoma: Possible Extreme Evolution of a Non-secreting Untreated Adrenal Adenoma. J Surg Case Rep. 2020;2020(6):rjaa185. PubMed PMID: 32595929.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous intra-adrenal massive hematoma: possible extreme evolution of a non-secreting untreated adrenal adenoma. AU - Mancini,Mariangela, AU - Leone,Nicolò, AU - Iafrate,Massimo, AU - Fassina,Ambrogio, AU - Zattoni,Filiberto, AU - ,, Y1 - 2020/06/19/ PY - 2020/04/30/received PY - 2020/05/13/accepted PY - 2020/6/30/entrez PY - 2020/7/1/pubmed PY - 2020/7/1/medline SP - rjaa185 EP - rjaa185 JF - Journal of surgical case reports JO - J Surg Case Rep VL - 2020 IS - 6 N2 - The spontaneous adrenal hematoma is a rare event. An 83-year-old male patient presented a 26-cm asymptomatic retroperitoneal mass of doubtful renal-adrenal origin. He had been evaluated 10 years before for an adrenal incidentaloma of 2.3 cm and had refused surgery when it had reached 7 cm. Later, the mass enlarged to 26 cm and was surgically removed through an open anterior approach. The histopathology showed a solid 4 kg mass of fibrinoid-hemorrhagic material, partially necrotic, mixed with adrenal tissue, with a well-vascularized capsule. No relapse is present at 6-month follow-up. This is the largest case described of spontaneous intra-adrenal hematoma in a case with previous non-secreting adrenal adenoma. The hematoma (a 4 kg mass) developed 10 years after the first diagnosis and exposed the patient to potential damage of the surrounding organs and to high-risk abdominal surgery. Long-term follow-up of non-secreting adrenal adenomas should be recommended. SN - 2042-8812 UR - https://www.unboundmedicine.com/medline/citation/32595929/Spontaneous_intra-adrenal_massive_hematoma:_possible_extreme_evolution_of_a_non-secreting_untreated_adrenal_adenoma L2 - https://academic.oup.com/jscr/article-lookup/doi/10.1093/jscr/rjaa185 DB - PRIME DP - Unbound Medicine ER -