ABSTRACT
OBJECTIVE: We report a case of non-traumatic adrenal hemorrhage in a man with antiplatelet treatment. METHODS: The patient was admitted to the Critical Care Unit because of a non-controlled hypertensive crisis. Pheochromocytoma was analytically excluded. The patient underwent a delayed adrenalectomy. RESULTS: Pathologic study of the specimen showed a wide hemorrhagic necrosis. CONCLUSIONS: Association of high blood pressure and adrenal hemorrhage is not pathognomonic of pheochromocytoma.
Subject(s)
Adrenal Gland Diseases/complications , Hemorrhage/complications , Hypertension/complications , Platelet Aggregation Inhibitors/therapeutic use , Aged , Humans , MaleABSTRACT
Objetivo: Presentación de un caso de hemorragia suprarrenal no traumática en un paciente antiagregado. Métodos: El paciente fue ingresado en la Unidad de Cuidados Intensivos por una crisis hipertensiva no controlada. Se descartó analíticamente la existencia de un feocromocitoma y se practicó una suprarrenalectomía diferida. Resultados: El examen histológico de la glándula mostró una extensa necrosis hemorrágica. Conclusiones: La asociación de hipertensión arterial y hemorragia suprarrenal no es diagnóstica de feocromocitoma (AU)
Objective: We report a case of non-traumatic adrenal hemorrhage in a man with antiplatelet treatment. Methods: The patient was admitted to the Critical Care Unit because of a non-controlled hypertensive crisis. Pheochromocytoma was analytically excluded. The patient underwent a delayed adrenalectomy. Results: Pathologic study of the specimen showed a wide hemorrhagic necrosis. Conclusions: Association of high blood pressure and adrenal hemorrhage is not pathognomonic of pheochromocytoma (AU)
