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Titolo:
Imaging of nontraumatic hemorrhage of the adrenal gland
Autore:
Kawashima, A; Sandler, CM; Ernst, RD; Takahashi, N; Roubidoux, MA; Goldman, SM; Fishman, EK; Dunnick, NR;
Indirizzi:
Univ Texas, Sch Med, Dept Radiol, Houston, TX 77030 USA Univ Texas Houston TX USA 77030 h Med, Dept Radiol, Houston, TX 77030 USA Univ Texas, Sch Med, Dept Urol, Houston, TX 77030 USA Univ Texas Houston TX USA 77030 Sch Med, Dept Urol, Houston, TX 77030 USA Lyndon B Johnson Gen Hosp, Dept Radiol, Houston, TX 77026 USA Lyndon B Johnson Gen Hosp Houston TX USA 77026 iol, Houston, TX 77026 USA Univ Michigan, Med Ctr, Dept Radiol, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 Dept Radiol, Ann Arbor, MI 48109 USA Johns Hopkins Med Inst, Dept Radiol, Baltimore, MD 21205 USA Johns HopkinsMed Inst Baltimore MD USA 21205 ol, Baltimore, MD 21205 USA
Titolo Testata:
RADIOGRAPHICS
fascicolo: 4, volume: 19, anno: 1999,
pagine: 949 - 963
SICI:
0271-5333(199907/08)19:4<949:IONHOT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY ADRENOCORTICAL CARCINOMA; RENAL-VEIN THROMBOSIS; RETROPERITONEAL HEMORRHAGE; PATHOLOGICAL CORRELATION; CYSTIC PHEOCHROMOCYTOMA; SONOGRAPHIC DIAGNOSIS; MR DEMONSTRATION; CT FINDINGS; MYELOLIPOMA; APPEARANCE;
Keywords:
adrenal gland, abnormalities; adrenal gland, abscess; adrenal gland; adrenal gland, hemorrhage; adrenal gland, insufficiency; adrenal gland, neoplasms;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
63
Recensione:
Indirizzi per estratti:
Indirizzo: Kawashima, A Univ Texas, Sch Med, Dept Radiol, Houston, TX 77030 USA Univ Texas Houston TX USA 77030 adiol, Houston, TX 77030 USA
Citazione:
A. Kawashima et al., "Imaging of nontraumatic hemorrhage of the adrenal gland", RADIOGRAPHI, 19(4), 1999, pp. 949-963

Abstract

Nontraumatic hemorrhage of the adrenal gland is uncommon. The causes of such hemorrhage can be classified into five categories: (a) stress, (b) hemorrhagic diathesis or coagulopathy, (c) neonatal stress, (d) underlying adrenal tumors, and (e) idiopathic disease. Computed tomography (CT), ultrasonography (US), and magnetic resonance (MR) imaging play an important role in diagnosis and management. CT is the modality of choice for evaluation of adrenal hemorrhage in a patient with a history of stress or a hemorrhagic diathesis or coagulopathy (anticoagulant therapy), CT may yield the first clue to the diagnosis of adrenal insufficiency secondary to bilateral massive adrenal hemorrhage; such insufficiency is rare but life threatening. US is the modality of choice for evaluation of neonatal hematoma, and MR imaging ishelpful for further characterization. MR imaging is also useful in the diagnosis of coexistent renal 6 vein thrombosis. When an adrenal abscess is suspected, percutaneous aspiration and drainage under imaging guidance shouldbe performed. Hemorrhage into an adrenal cyst or tumor can cause acute onset of symptoms and signs in a patient without discernible risk factors for adrenal hemorrhage. A hemorrhagic adrenal tumor should be suspected when CTor MR imaging reveals a hemorrhagic adrenal mass of heterogeneous attenuation or signal intensity that demonstrates enhancement.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/10/20 alle ore 19:48:35