Division of Hematology, Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Miki-cho, Kita-gun, 761-0793, Kagawa, Japan.
Endocrine. 2010 Apr;37(2):249-52. doi: 10.1007/s12020-010-9310-z. Epub 2010 Mar 13.
We report the case of an 85-year-old woman who has been undergoing treatment for hypertension but has not received anticoagulation therapy. The patient was admitted to our hospital for the evaluation of a right adrenal tumor (size, 10 × 9 cm²). Preoperative contrast-enhanced computed tomography and magnetic resonance imaging findings were indicative of adrenal hemorrhage (AH). Laboratory data revealed mild anemia but no adrenal dysfunction. The final pathological diagnosis was simply idiopathic adrenal hematoma. There is no case report of exactly idiopathic AH over 80 years old. We report an unusual case of idiopathic unilateral adrenal hematoma in an elderly patient. It is important to distinguish this benign lesion from a neoplasm and to consider idiopathic AH in an adrenal tumor during differential diagnosis in elderly patients who have not received anticoagulation therapy or suffered from trauma.
我们报告了一例 85 岁女性高血压患者，该患者未接受抗凝治疗。患者因右侧肾上腺肿瘤（大小为 10×9cm²）入我院治疗。术前增强 CT 和 MRI 结果提示肾上腺出血（AH）。实验室数据显示轻度贫血，但无肾上腺功能障碍。最终病理诊断为单纯特发性肾上腺血肿。目前尚无年龄超过 80 岁的特发性 AH 的病例报告。我们报告了一例罕见的老年特发性单侧肾上腺血肿病例。对于未接受抗凝治疗或无外伤的老年患者，在肿瘤鉴别诊断中，重要的是要将这种良性病变与肿瘤区分开来，并考虑特发性 AH。
