Spontaneous Contralateral Adrenal Hemorrhage during Periduodenal Abscess Drain Placement

• Published in: Diagnostics (Basel) Vol. 14; no. 3; p. 334
• Main Authors: Hasan, Eusha, Lamba, Ashley, Ghosh, Abheek, Kocharyan, Hakob, Al-Roubaie, Mustafa, Yeisley, Christopher
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01-02-2024
• Subjects: Abdomen; Abscesses; Adrenal glands; adrenal hemorrhage; Antihypertensives; Asymptomatic; Backache; Catecholamines; Consent; CT imaging; CT-guided abscess drainage; Endoscopy; Health aspects; Hematoma; Hemorrhage; Hormones; Hypertension; Pain; Pancreatic cancer; Pathogenesis; periduodenal abscess; Review boards; Small intestine; Stress (Physiology); Stress response; Thrombosis; Tomography; Trauma; Tumors; Veins & arteries; periduodenal abscess; adrenal hemorrhage; CT-guided abscess drainage
• ISSN: 2075-4418; 2075-4418
• DOI: 10.3390/diagnostics14030334

A spontaneous adrenal hemorrhage is a rare complication occurring in the setting of interventional radiology procedures. Here, we present the case of a 73-year-old male who underwent CT-guided drainage of a periduodenal collection. During the procedure, he developed sudden onset left back pain and hypertension, which revealed a left adrenal gland hemorrhage on CT imaging. Potential mechanisms for this complication include a physiological stress response, procedure-associated hypercoagulability, and direct trauma to the adrenal gland. Moreover, an adrenal hemorrhage should be monitored closely as it can lead to severe clinical consequences requiring treatment with IV analgesics and antihypertensives.