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Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture

Serious bleeding from a ruptured adrenal mass limits preoperative diagnostics and can necessitate urgent laparotomy to control blood loss. A 45-year old man underwent an emergency laparotomy due to severe retroperitoneal haemorrhage causing hypovolaemia. Detailed retroperitoneal dissection after spl...

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Detalles Bibliográficos
Autores principales: Paluszkiewicz, Piotr, Ambroziak, Iwona, Hołyńska-Dąbrowska, Katarzyna, Siezieniewska-Skowrońska, Zofia, Paluszkiewicz, Andrzej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278955/
https://www.ncbi.nlm.nih.gov/pubmed/22371732
http://dx.doi.org/10.5114/aoms.2010.13519
Descripción
Sumario:Serious bleeding from a ruptured adrenal mass limits preoperative diagnostics and can necessitate urgent laparotomy to control blood loss. A 45-year old man underwent an emergency laparotomy due to severe retroperitoneal haemorrhage causing hypovolaemia. Detailed retroperitoneal dissection after splenectomy and clamping of the abdominal aorta revealed bleeding from a ruptured haemangioma of the left adrenal gland. Following a left adrenalectomy, the patient returned to a stable haemodynamic state. Adrenal haemangiomas are rare, but may cause spontaneous life-threatening haemorrhage.