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Adrenal Hemorrhage
Halimah Tusadiah
1210070100199
Preseptor :
dr. Dessy Wimelda,Sp.Rad
Imaging of Nontraumatic Adrenal Hemorrhage
Abdominal pain,
Flank pain,
Nausea,
Vomiting,
Hypotension or hypertension,
Fever lowgrade
Agitation,
And decreasing hematocrit
Historically, because of the nonspecific clinical
presentation, the diagnosis of adrenal
hemorrhage was usually first suggested at
autopsy. With modern imaging, particularly CT
and MRI, the diagnosis of adrenal hemorrhage is
frequently made before death in both acute and
chronic stages
Prompt diagnosis may matter clinically
because 16 50% of patients with bilateral
adrenal hemorrhage eventually have life-
threatening adrenal insufficiency
Causes of Nontraumatic Adrenal
Hemorrhage
67-year-old woman with acute left sided abdominal pain. Axial contrastenhanced
CT image shows new mild bilateral adrenal enlargement (CT 3 months
earlier showed normal adrenal glands) with peripherally preserved enhancement
(train-track appearance), which is most pronounced in medial limb (arrow) of
right adrenal gland. Mild infiltration is visible around left adrenal gland. These
findings likely represent early imaging changes of adrenal hemorrhage.
GAMBAR 3 (A)