Acute hemorrhage into adrenal pseudocyst presenting with shock: diagnostic dilemmas--report of three cases and review of literature

We report three cases of acutely bleeding adrenal pseudocysts presenting as hemorrhagic shock. Pregnancy was associated in two cases. The diagnostic dilemmas are discussed with special reference to their unusual presentations, diagnosis, and treatment. We believe that our cases, complicated by intra...

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Bibliographic Details
Published in:TheScientificWorld 2006-01, Vol.6, p.2381-2387
Main Authors: Sivasankar, Amarapathy, Jeswanth, Sathyanesan, Johnson, Maria Antony, Ravichandran, Palaniappan, Rajendran, Shanmugasundaram, Kannan, Devy Gounder, Surendran, Rajagopal
Format: Article
Language:English
Subjects:
Adrenal Gland Diseases - complications
Adrenal Gland Diseases - diagnosis
Adrenal Glands - pathology
Adult
Case Study
Cysts - complications
Cysts - diagnosis
Diagnosis, Differential
Female
Hemorrhage - complications
Hemorrhage - diagnosis
Humans
Magnetic Resonance Imaging
Pregnancy
Pregnancy Complications - diagnosis
Shock, Hemorrhagic - complications
Shock, Hemorrhagic - diagnosis
Tomography, X-Ray Computed - methods
Treatment Outcome
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Description
Summary:We report three cases of acutely bleeding adrenal pseudocysts presenting as hemorrhagic shock. Pregnancy was associated in two cases. The diagnostic dilemmas are discussed with special reference to their unusual presentations, diagnosis, and treatment. We believe that our cases, complicated by intracystic hemorrhage, may be related to pregnancy.
ISSN:1537-744X
2356-6140
1537-744X
DOI:10.1100/tsw.2006.369