Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture

Piotr Paluszkiewicz; Iwona Ambroziak; Katarzyna Hołynska-Dąbrowska; Zofia Siezieniewska-Skowrońska; Andrzej Paluszkiewicz

doi:10.5114/aoms.2010.13519

eISSN: 1896-9151
ISSN: 1734-1922

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1/2010
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abstract:

Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture

Piotr Paluszkiewicz

,

Iwona Ambroziak

,

Katarzyna Hołynska-Dąbrowska

,

Zofia Siezieniewska-Skowrońska

,

Andrzej Paluszkiewicz

Arch Med Sci 2010; 6, 1: 122-125

DOI: https://doi.org/10.5114/aoms.2010.13519

Online publish date: 2010/03/09

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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.

keywords:

Spontaneous rupture of adrenal haemangioma mimicking abdominal aortic aneurysm rupture

Piotr Paluszkiewicz , Iwona Ambroziak , Katarzyna Hołynska-Dąbrowska , Zofia Siezieniewska-Skowrońska , Andrzej Paluszkiewicz

haemorrhage, shock, haemostasis, retroperitoneal, adrenal haeman-gioma

Piotr Paluszkiewicz

,

Iwona Ambroziak

,

Katarzyna Hołynska-Dąbrowska

,

Zofia Siezieniewska-Skowrońska

,

Andrzej Paluszkiewicz