Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm.
Yi Th'ng SeowZi Qin NgSze Ling WongPublished in: BMJ case reports (2019)
Spontaneous unilateral adrenal haemorrhage (AH) is extremely rare. Its presentation is usually non-specific and requires a high degree of suspicion as it is associated with high morbidity and mortality if diagnosis is delayed. Hereby, we present a case of 67-year-old man with significant cardiac history presented with right-sided chest pain and non-specific abdominal pain. He was previously treated for non-ST elevation myocardial infarction 5 days ago prior to the current presentation. CT scan of abdomen and pelvis demonstrated a right-sided active AH. The patient subsequently underwent digital subtraction angiography. Angio-embolisation was attempted for the pseudoaneurysm but failed due to spasm of the vessel. He was managed conservatively and discharged after clinical improvement. Clinic review 6 months later showed significant size reduction of the pseudoaneurysm.
Keyphrases
- st elevation myocardial infarction
- computed tomography
- abdominal pain
- case report
- percutaneous coronary intervention
- dual energy
- endovascular treatment
- high glucose
- optical coherence tomography
- image quality
- venous thromboembolism
- atrial fibrillation
- left ventricular
- magnetic resonance imaging
- diabetic rats
- acute coronary syndrome
- heart failure
- drug induced
- coronary artery disease
- endothelial cells
- oxidative stress
- magnetic resonance