Adrenal haematoma

Case contributed by Dr Henry Knipe

Presentation

Trauma.

Patient Data

Age: 60 years
Gender: Male
Modality: CT

25mm x 12mm right adrenal mass (HU 60). Right L1, L2 and L5 transverse process fracture. Subcutaneous fat stranding in a seatbelt pattern. No further traumatic injury with a small volume of left retroperitoneal fluid. 

Four months later

Modality: CT

Both adrenal glands have a normal appearance with no mass lesion. This confirms the right adrenal mass on the previous CT as a haematoma. Small hiatus hernia. Small right lumbar hernia is partially imaged.

Case Discussion

Incidental adrenal lesions need to be followed up if there is no preceding imaging that confirm the benign nature (no growth, or appropriate HU values to indicate it is an adenoma). This case demonstrates normal adrenal glands, indicating the prior adrenal mass is in fact an adrenal haematoma. 

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Case Information

rID: 44334
Case created: 18th Apr 2016
Last edited: 15th Apr 2017
Systems: Urogenital, Trauma
Inclusion in quiz mode: Included

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