PMC9242798_01
Bilateral adrenal masses in favor of adrenal hematoma.
CRIM2022-5335543.001.jpg
PMC9242798_01_CRIM2022-5335543.001.jpg
fig1
CT scan with the adrenal protocol was performed that revealed huge splenomegaly (spleen span: 25 cm) and bilateral adrenal masses (right adrenal gland: 40 * 29 mm, left adrenal gland: 48 * 26 mm) without any enhancement and 50 HU subsequently in favor of adrenal hematoma (Figure 1). Comprehensive adrenal glands assessment was performed and revealed the followings: aldosterone; 45 pg/ml (reference range: 30-400 pg/ml), plasma renin; 12 pg/ml (reference range: 12-36 pg/ml), 17 (OH) progesterone; 1.3 ng/ml (reference range: 0.2-2.3 ng/ml) and dehydroepiandrosterone sulfate (DHEAS); 25 mcg/dl (reference range: 56-80 mcg/dl).
Resolved bilateral adrenal hematoma during follow-up assessment.
CRIM2022-5335543.002.jpg
PMC9242798_01_CRIM2022-5335543.002.jpg
fig2
The adrenal hematoma was resolved gradually through periodic ultrasound assessments, and there was no evidence of adrenal masses on the abdominal CT scan 15 months after his discharge (Figure 2).