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[Idiopathic adrenal hemorrhage: a case report].
Sakamoto, T; Azuma, H; Iwamoto, Y; Segawa, N; Ubai, T; Noumi, H; Ueda, H; Katsuoka, Y.
Afiliación
  • Sakamoto T; Department of the Urology, Osaka Medical College.
Hinyokika Kiyo ; 44(11): 805-7, 1998 Nov.
Article en Ja | MEDLINE | ID: mdl-9893226
A 77-year-old man with a low grade fever persisting for 30 days consulted a local physician. A computed tomographic scan of the abdomen showed a mixed density mass on the left adrenal gland. He was referred to our hospital for further examination. Hormonal assay demonstrated a slightly high level of noradrenalin in the serum (18 pg/ml) and vanillyl mandelic acid in the urine (6.2 ng/ml). Magnetic resonance imaging revealed a heterogeneous mass lesion 3 cm in diameter with a high signal intensity on both T1 and T2 weighted images. Angiography showed a hypovascular mass in the supra-renal region suggesting an adrenal tumor or malignancy. Left adrenalectomy combined with en bloc nephrectomy was performed because of severe adhesion. Histologic evaluation showed hematoma without malignant cells due to idiopathic adrenal hemorrhage.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de las Glándulas Suprarrenales / Hematoma Tipo de estudio: Diagnostic_studies Límite: Aged / Humans / Male Idioma: Ja Revista: Hinyokika Kiyo Año: 1998 Tipo del documento: Article Pais de publicación: Japón
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades de las Glándulas Suprarrenales / Hematoma Tipo de estudio: Diagnostic_studies Límite: Aged / Humans / Male Idioma: Ja Revista: Hinyokika Kiyo Año: 1998 Tipo del documento: Article Pais de publicación: Japón