• Læknablađiđ · Jun 2023

    Case Reports

    [Spontaneous retroperitoneal hemorrhage].

    • Jon Bjarnason, Luis Fernando Bazan Asencios, Hjalti Mar Thorisson, and Kristbjorn I Reynisson.
    • Department of Interventional Radiology, Landspitali National University Hospital, 2Department of Radiology, Landspitali National University Hospital.
    • Laeknabladid. 2023 Jun 1; 109 (6): 292295292-295.

    AbstractA 50-year old male presented to our emergency department with sudden abdominal pain. Upon arrival he was diaphoretic, pale and tachycardic. A CT showed retroperitoneal hemorrhage with suspected tumor at the left adrenal gland. He was quickly stabilized with intravenous fluids and blood transfusion. Rebleed occurs roughly a week after discharge and a new CT showed a visceral pseudoaneurysm from the left middle adrenal artery. The pseudoaneurysm was embolized and the patient discharged in good condition. Follow-up MRI depicted reabsorption of the hematoma and no adrenal tumor. Thus, the etiology of the previous retroperitonal hemorrhage is considered spontaneous.

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