PMC7691671_01
CT scan of the upper abdomen in the portal (A) and delayed (B) phases. It shows a large left adrenal mass (17 cm) with surrounding hematoma and peripheral nodular enhancement. Note is made of the presence of contrast media and air bubbles from the embolization attempt (Arrow). Figure C shows the coronal section.
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Patient undergone CT (Computed Tomography) scan which showed a 17 x 11 x 10 cm retroperitoneal bleeding mass originating from the left adrenal gland (Fig. 1).
Digital Subtraction Angiography (DSA) of the left adrenal artery showing a large lesion with centro-medial enlarged tortuous arteries and a peripheral thin capsular vascularity (Arrows).
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Interventional radiologist was able to identify the bleeding however an attempt to embolize failed to stop the bleed due to inability to identify the nourishing artery (Fig. 2).
Intra operative image of the excised left adrenal tumor.
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Ligation of the left adrenal vein and artery and other collaterals was secured and the mass was excised and sent to pathology (Fig. 3).