RESUMO
OBJECTIVES: Adrenal hemangiomas are rare tumors that are difficult to diagnose preoperatively. A case of retroperitoneal hemorrhage arising from adrenal hemangioma is described. This uncommon clinical manifestation prompted us to report on the present case and briefly review the scant literature on the diagnostic and therapeutic aspects. METHODS: The case described herein is that of a male patient who presented with hematoma in scrotum and penis that had appeared progressively with no previous trauma. The diagnosis was made by abdominal US and CT, which showed a retroperitoneal mass that appeared to be solid. An enlarged adrenal gland with tumoral "blush" was shown on selective vascular evaluation. RESULTS: En bloc excision of the adrenal gland, left kidney and spleen was performed. The histological analysis revealed adrenal hemangioma. CONCLUSIONS: Adrenal hemangioma is a rare tumor type with no clinical or biological symptoms of a functioning tumor that is generally diagnosed with difficulty preoperatively. The differential diagnosis must be made to distinguish adenoma, carcinoma, nonfunctioning adrenal pheochromocytoma and spontaneous hemorrhage.
Assuntos
Neoplasias das Glândulas Suprarrenais/complicações , Hemangioma/complicações , Hemorragia/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Espaço RetroperitonealRESUMO
Contribution of one case of spontaneous retroperitoneal haemorrhage presented after therapy with anticoagulants. Review of causes of transperitoneal haemorrhage, relative frequency, as well as signs and symptoms, and diagnosis. The sparse number of haemorrhagic complications after anticoagulant therapy with heparin and urokinase-associated adjusted heparin are described. Treatment is instituted based on precipitating condition and, in the present case, with suppression of medication and volume replacement together with an strict evolutive monitoring by means of ultrasound, computerized axial tomography (CT) and magnetic nuclear resonance (MNR).
