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An Unusual Case of Adrenal Hemorrhage

Year: 2025

Type: article

Abstract: Adrenal hemorrhage is an uncommon diagnosis, with nonspecific clinical findings. It can present with elevated blood pressure and arrhythmia in the setting of elevated catecholamine levels. Although overproduction from an adrenal mass such as pheochromocytomas is typically suspected, severe physiologic stress is also associated with increased catecholamine release. This report details a case of acute clinical deterioration and biochemical evidence of marked excess of catecholamines in a patient with unilateral adrenal hemorrhage. Initial suspicion was high for a hemorrhagic pheochromocytoma. However, follow-up evaluation revealed resolution of the hemorrhagic collection, evidence of an adrenal mass, and normalization of catecholamine levels.

Source: Annals of Internal Medicine Clinical Cases

DOI: 10.7326/aimcc.2023.1400

Authors: Thayse Lozovoy Madsen-Barbosa, Fidini Hayati Antoni, Adline Ghazi

Institutions: MedStar Union Memorial Hospital, MedStar Franklin Square Medical Center

Language: English

Topic: Adrenal and Paraganglionic Tumors

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4406136388

FWCI:

Cites: 10

Cited by:

Related to: 10