[Unilateral hematoma of the adrenal gland. Review of the literature. A case report]

Abstract

The authors report one case of post-traumatic hematic pseudocyst of the right adrenal demonstrated with magnetic resonance imaging. Total adrenalectomy was performed; the clinicopathological examination confirms the absence of any underlying tumoral process and allows the hypothesis that stress was a fostering factor. After a review of the literature noting that the risk of hemorrhagic recurrence is underestimated, while the number of underlying cancers is small and easily detected since imaging of the adrenals has been refined, the authors discuss the procedure of treatment and the technical aspects of surgery for the hematomas confined to the adrenal space: surgical exeresis is proposed as a rule, but this should be qualified, as a medical alternative can be justified provided the causal affection disappears and a strict observation with computed tomography or magnetic resonance imaging is ensured.