Shimokihara K, Kawahara T, Mochizuki T, Morinaga R, Izumi K, Sanjyo H, Nakaigawa N, Yao M, Otani M, Uemura H. Spontaneous adrenal hemorrhage with dehydroepiandrosterone-sulfate elevation in a patient with suspected adrenal cortical carcinoma.
IJU Case Rep 2019;
2:102-104. [PMID:
32743385 PMCID:
PMC7292189 DOI:
10.1002/iju5.12053]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Accepted: 02/04/2019] [Indexed: 11/10/2022] Open
Abstract
Introduction
Spontaneous adrenal hemorrhage is a relatively rare disease that is sometimes difficult to differentiate from adrenal cortical carcinoma. We herein report a case of spontaneous adrenal hemorrhage with dehydroepiandrosterone‐sulfate elevation.
Case presentation
The patient was a 78‐year‐old man with an adrenal tumor that had increased in size to 42 mm. With the exception of an elevated dehydroepiandrosterone‐sulfate level (2281 ng/mL), the results of a hormone analysis were almost normal. Laparoscopic adrenal tumor resection was performed. The pathological diagnosis was adrenal hematoma.
Conclusion
We reported a case of spontaneous adrenal hemorrhage in a patient with dehydroepiandrosterone‐sulfate elevation.
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