ArticleGland surgery2018
Acute non-traumatic adrenal haemorrhage-management, pathology and clinical outcomes.
Article in Gland surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 25 citations in OpenAlex.
- Presumptive Postoperative Nontraumatic Adrenal Haemorrhage After Orthopaedic Surgery in a Dog.Veterinary medicine and science · 2026Article
- Adrenal Haemorrhage in the Context of Acute Systemic Illness: Three Cases With Diverse Clinical Presentations.Cureus · 2025Article
- Adrenal hemorrhage: diagnostics, management, and treatment. Review and clinical update.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Review
- Adrenal Hemorrhage as a Complication of Plug-assisted Retrograde Transvenous Obliteration of Gastrorenal Shunt Managed by Adrenal Artery Embolization: A Case Report.Interventional radiology (Higashimatsuyama-shi (Japan) · 2024Article
- Two cases of atraumatic adrenal hemorrhage: A review of active management, conservative management, and challenges faced.Radiology case reports · 2024Article
- Iatrogenic adrenal insufficiency in adults.Nature reviews. Endocrinology · 2024Review
- Bilateral adrenal hemorrhage after pancreaticoduodenectomy.Journal of surgical case reports · 2023Article
- Bilateral adrenal hemorrhage: learning notes from clinical practice and literature review.Frontiers in endocrinology · 2023Review
- Presumptive nontraumatic adrenal hemorrhage preceding hypoadrenocorticism in a dog.Journal of veterinary internal medicine · 2022Article
- Article
- Spontaneous adrenal haemorrhage in pregnancy and review of the literature.BMJ case reports · 2022Article
- Adrenal bleeding due to pheochromocytoma - A call for algorithm.Frontiers in endocrinology · 2022Article
- Haemorrhagic shock from solid tumours of the adrenal gland: a case of bleeding primary adrenal lymphoma.Annals of the Royal College of Surgeons of England · 2021Article
- Pitfalls and differential diagnosis on adrenal lesions: current concepts in CT/MR imaging: a narrative review.Gland surgery · 2020Review
- Adrenal haemorrhage as a complication of COVID-19 infection.BMJ case reports · 2020Article
- Haemorrhage in pre-existing adrenal masses. A case series.International journal of surgery case reports · 2020Article
- Unexplained Bilateral Adrenal Hemorrhage and Adrenal Insufficiency Unveiling Burkitt's Lymphoma.AACE endocrinology and diabetesArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute adrenal haemorrhage is a rare medical emergency. The aim of the series was to study the clinical presentation and management of patients presenting with acute non-traumatic adrenal haemorrhage.
methodsThe records of patients presenting with an acute abdomen secondary to adrenal haemorrhage and treated in a tertiary endocrine surgical unit over a period of 6 years were reviewed.
resultsOf the 11 included patients, there were 4 males and 7 females; the median [range] age at presentation was 58 [27-89] years. All were initially managed conservatively for bleeding, except one who underwent angioembolisation to ensure hemodynamic stability. Two patients underwent percutaneous drainage of persistent collection and suspected sepsis. Biochemical workup showed hyper function with metanephrine excess in 1 patient. Adrenalectomy was performed in 5 patients after a median [range] of 10 [7-11] weeks. Histology showed benign pathology in 2 patients, malignant in 2 patients and necrotic tumour in 1 patient. Two patients died of disseminated metastatic disease at 5 and 2 months after presentation with bleeding. Conservative management in the other 3 patients was successful at a median follow up of 26 [6-66] months.
conclusionsAcute adrenal haemorrhage is usually associated with an underlying pathology; which may be benign or malignant; functional or non-functional. Initial conservative management is preferred as it allows determination of functional status and elective surgery, if necessary.
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