Characteristics of Adrenal Hemorrhage: A Single Clinic’s Experience

Abstract

<b>Introduction:</b> Adrenal hemorrhage (AH) is a very rare and potentially life threatening disease, which may be secondary to the trauma or of and non-traumatic etiology.</br> <br><b>Aim:</b> Aim of the study covered in the article has been to characteristic and management of adrenal hemorrhage and shows that adrenal hemorrhage is more common than we expected and clinical symptoms are not specifics.</br> <br><b>Materials and methods:</b> This retrospective study involved 199 patients with postoperative diagnosis of adrenal hemorrhage.</br> <br><b>Discussion:</b> The factors identified as potentially causes of adrenal hemorrhage are ACC, Pheochromocytoma and adrenal adenoma. The study group included 199 patients with postoperative diagnosis of AH. It showed that in all patients with postoperative di-agnosis were Pheochromocytoma (n=54), adrenal adenoma (n=68), Adenocarcionma (n=17). If we look more careful for the results we can find only 30% ( n=39) patients with preoperative diagnosis of AH. This group of 39 patients was prepared for expedited surgery. In this group of patients preoperative diagnosis of Ah were Pheochromocytoma 28% (N 11), Adenocarcinoma 10% (n=4), Adrenal adenoma 23% (n=9).</br> <br><b>Conclusion:</b>Bleeding into adrenal tumors is still an insufficiently understood topic due to its unpredictability and, as you can see in our material, of varying severity. Out of 199 patients, only 30% (n=39) were prepared for surgery with a preoperative diagnosis of AH, and most of them are pheochromocytoma. We suggest that is very important to prepare patients with preoperative diagnosis of AH to surgery using α-adrenoreceptor antagonists. Prolongation of the diagnostic process (time between the imaging examination and the surgery) may result in the disease progression and adrenal bleeding.</br>