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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

          • Abbreviations

            • Adrenal hemorrhage (AH)
          • 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. Liao CH et al: The current status and management of blunt adrenal gland trauma. Surgery. 157(2):338-43, 2015
                                          2. 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
                                          3. 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
                                          4. Jordan E et al: Imaging of nontraumatic adrenal hemorrhage. AJR Am J Roentgenol. 199(1):W91-8, 2012
                                          5. 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
                                          6. Mutlu M et al: Adrenal hemorrhage in newborns: a retrospective study. World J Pediatr. 7(4):355-7, 2011
                                          7. Araújo Sde A et al: [Puerperal septic shock due to beta-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome.] Rev Soc Bras Med Trop. 42(1):73-6, 2009
                                          8. Birchard KR et al: MRI of acute abdominal and pelvic pain in pregnant patients. AJR Am J Roentgenol. 184(2):452-8, 2005
                                          9. Caoili EM et al: Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology. 222(3):629-33, 2002
                                          10. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                          11. Mayo-Smith WW et al: State-of-the-art adrenal imaging. Radiographics. 21(4):995-1012, 2001
                                          12. Vella A et al: Adrenal hemorrhage: a 25-year experience at the Mayo Clinic. Mayo Clin Proc. 76(2):161-8, 2001
                                          13. Kawashima A et al: Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 19(4):949-63, 1999
                                          14. Khati NJ et al: Adrenal adenoma and hematoma mimicking a collision tumor at MR imaging. Radiographics. 19(1):235-9, 1999
                                          15. Krebs TL et al: MR imaging of the adrenal gland: radiologic-pathologic correlation. Radiographics. 18(6):1425-40, 1998
                                          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

                                                  • Abbreviations

                                                    • Adrenal hemorrhage (AH)
                                                  • 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. Liao CH et al: The current status and management of blunt adrenal gland trauma. Surgery. 157(2):338-43, 2015
                                                                                  2. 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
                                                                                  3. 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
                                                                                  4. Jordan E et al: Imaging of nontraumatic adrenal hemorrhage. AJR Am J Roentgenol. 199(1):W91-8, 2012
                                                                                  5. 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
                                                                                  6. Mutlu M et al: Adrenal hemorrhage in newborns: a retrospective study. World J Pediatr. 7(4):355-7, 2011
                                                                                  7. Araújo Sde A et al: [Puerperal septic shock due to beta-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome.] Rev Soc Bras Med Trop. 42(1):73-6, 2009
                                                                                  8. Birchard KR et al: MRI of acute abdominal and pelvic pain in pregnant patients. AJR Am J Roentgenol. 184(2):452-8, 2005
                                                                                  9. Caoili EM et al: Adrenal masses: characterization with combined unenhanced and delayed enhanced CT. Radiology. 222(3):629-33, 2002
                                                                                  10. Dunnick NR et al: Imaging of adrenal incidentalomas: current status. AJR Am J Roentgenol. 179(3):559-68, 2002
                                                                                  11. Mayo-Smith WW et al: State-of-the-art adrenal imaging. Radiographics. 21(4):995-1012, 2001
                                                                                  12. Vella A et al: Adrenal hemorrhage: a 25-year experience at the Mayo Clinic. Mayo Clin Proc. 76(2):161-8, 2001
                                                                                  13. Kawashima A et al: Imaging of nontraumatic hemorrhage of the adrenal gland. Radiographics. 19(4):949-63, 1999
                                                                                  14. Khati NJ et al: Adrenal adenoma and hematoma mimicking a collision tumor at MR imaging. Radiographics. 19(1):235-9, 1999
                                                                                  15. Krebs TL et al: MR imaging of the adrenal gland: radiologic-pathologic correlation. Radiographics. 18(6):1425-40, 1998