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Adrenal Hemorrhage
Mitchell Tublin, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Hemorrhage within adrenal gland or tumor

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Alves Pereira FD et al: Case 268: bilateral adrenal hemorrhage in the context of sepsis. Radiology. 292(2):503-6, 2019
                                          2. Wang L et al: Bilateral adrenal hemorrhage after hip arthroplasty: an initially misdiagnosed case. BMC Urol. 19(1):106, 2019
                                          3. Ali A et al: Acute non-traumatic adrenal haemorrhage-management, pathology and clinical outcomes. Gland Surg. 7(5):428-32, 2018
                                          4. Karwacka IM et al: Adrenal hemorrhage: a single center experience and literature review. Adv Clin Exp Med. 27(5):681-7, 2018
                                          5. Fakih H et al: Bilateral adrenal hemorrhage. Intensive Care Med. 43(3):447-8, 2017
                                          6. Rowe SP et al: Computed tomography appearance of surgically resected adrenal hematomas. J Comput Assist Tomogr. 40(6):892-5, 2016
                                          7. Tan GX et al: Adrenal congestion preceding adrenal hemorrhage on CT imaging: a case series. Abdom Radiol (NY). 41(2):303-10, 2016
                                          8. Hammond NA et al: Imaging of adrenal and renal hemorrhage. Abdom Imaging. 40(7):2747-60, 2015
                                          9. Liao CH et al: The current status and management of blunt adrenal gland trauma. Surgery. 157(2):338-43, 2015
                                          10. Lattin GE Jr et al: From the radiologic pathology archives: adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                          11. Stein DM et al: Hyperacute adrenal insufficiency after hemorrhagic shock exists and is associated with poor outcomes. J Trauma Acute Care Surg. 74(2):363-70; discussion 370, 2013
                                          12. Jordan E et al: Imaging of nontraumatic adrenal hemorrhage. AJR Am J Roentgenol. 199(1):W91-8, 2012
                                          13. Marti JL et al: Spontaneous adrenal hemorrhage with associated masses: etiology and management in 6 cases and a review of 133 reported cases. World J Surg. 36(1):75-82, 2012
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Pathology

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Hemorrhage within adrenal gland or tumor

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Angiographic Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Alves Pereira FD et al: Case 268: bilateral adrenal hemorrhage in the context of sepsis. Radiology. 292(2):503-6, 2019
                                                                                  2. Wang L et al: Bilateral adrenal hemorrhage after hip arthroplasty: an initially misdiagnosed case. BMC Urol. 19(1):106, 2019
                                                                                  3. Ali A et al: Acute non-traumatic adrenal haemorrhage-management, pathology and clinical outcomes. Gland Surg. 7(5):428-32, 2018
                                                                                  4. Karwacka IM et al: Adrenal hemorrhage: a single center experience and literature review. Adv Clin Exp Med. 27(5):681-7, 2018
                                                                                  5. Fakih H et al: Bilateral adrenal hemorrhage. Intensive Care Med. 43(3):447-8, 2017
                                                                                  6. Rowe SP et al: Computed tomography appearance of surgically resected adrenal hematomas. J Comput Assist Tomogr. 40(6):892-5, 2016
                                                                                  7. Tan GX et al: Adrenal congestion preceding adrenal hemorrhage on CT imaging: a case series. Abdom Radiol (NY). 41(2):303-10, 2016
                                                                                  8. Hammond NA et al: Imaging of adrenal and renal hemorrhage. Abdom Imaging. 40(7):2747-60, 2015
                                                                                  9. Liao CH et al: The current status and management of blunt adrenal gland trauma. Surgery. 157(2):338-43, 2015
                                                                                  10. Lattin GE Jr et al: From the radiologic pathology archives: adrenal tumors and tumor-like conditions in the adult: radiologic-pathologic correlation. Radiographics. 34(3):805-29, 2014
                                                                                  11. Stein DM et al: Hyperacute adrenal insufficiency after hemorrhagic shock exists and is associated with poor outcomes. J Trauma Acute Care Surg. 74(2):363-70; discussion 370, 2013
                                                                                  12. Jordan E et al: Imaging of nontraumatic adrenal hemorrhage. AJR Am J Roentgenol. 199(1):W91-8, 2012
                                                                                  13. Marti JL et al: Spontaneous adrenal hemorrhage with associated masses: etiology and management in 6 cases and a review of 133 reported cases. World J Surg. 36(1):75-82, 2012