Adrenal Metastasis and Hemorrhage Secondary to Hepatocellular Carcinoma
A 66-year-old man was admitted to undergo treatment for the sudden onset of hypogastric pain radiating to the left flank. Based on the clinical presentation and radiological findings, left adrenal hemorrhage secondary to hepatocellular carcinoma was diagnosed. Although the patient was hemodynamicall...
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| Veröffentlicht in: | Internal Medicine 2015, Vol.54(12), pp.1513-1517 |
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| container_issue | 12 |
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| container_title | Internal Medicine |
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| creator | Akiyama, Shintaro Imamura, Tsunao Koyama, Rikako Tamura, Tetsuo Koizumi, Yuko Takeuchi, Kazuo |
| description | A 66-year-old man was admitted to undergo treatment for the sudden onset of hypogastric pain radiating to the left flank. Based on the clinical presentation and radiological findings, left adrenal hemorrhage secondary to hepatocellular carcinoma was diagnosed. Although the patient was hemodynamically stable, anemia progressed over the first four days after admission and a blood transfusion was subsequently initiated, which was effective. According to the results of interval imaging with computed tomography, elective transcatheter embolization (TAE) was performed nine days after admission to treat the bleeding from the adrenal tumor. After TAE, the patient's abdominal pain resolved, with no further progression of anemia. |
| doi_str_mv | 10.2169/internalmedicine.54.4115 |
| format | Article |
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Based on the clinical presentation and radiological findings, left adrenal hemorrhage secondary to hepatocellular carcinoma was diagnosed. Although the patient was hemodynamically stable, anemia progressed over the first four days after admission and a blood transfusion was subsequently initiated, which was effective. According to the results of interval imaging with computed tomography, elective transcatheter embolization (TAE) was performed nine days after admission to treat the bleeding from the adrenal tumor. 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Med.</addtitle><description>A 66-year-old man was admitted to undergo treatment for the sudden onset of hypogastric pain radiating to the left flank. Based on the clinical presentation and radiological findings, left adrenal hemorrhage secondary to hepatocellular carcinoma was diagnosed. Although the patient was hemodynamically stable, anemia progressed over the first four days after admission and a blood transfusion was subsequently initiated, which was effective. According to the results of interval imaging with computed tomography, elective transcatheter embolization (TAE) was performed nine days after admission to treat the bleeding from the adrenal tumor. After TAE, the patient's abdominal pain resolved, with no further progression of anemia.</description><subject>Adrenal Gland Neoplasms - secondary</subject><subject>adrenal metastasis</subject><subject>Aged</subject><subject>Blood Transfusion</subject><subject>Carcinoma, Hepatocellular - complications</subject><subject>Carcinoma, Hepatocellular - secondary</subject><subject>Embolization, Therapeutic - methods</subject><subject>Hemorrhage - therapy</subject><subject>hepatocellular carcinoma</subject><subject>Humans</subject><subject>Liver Neoplasms - pathology</subject><subject>Male</subject><subject>retroperitoneal hemorrhage</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkEtLAzEUhYMoWh9_QWbpZurkNUmWUrQKigt1HW6SOzoyj5pMF_57U1q7ECHcQO53z8k9hBS0mjNam-t2mDAO0PUYWt8OOJdiLiiVB2RGuTClYlweklllqC5ZLifkNKXPquJaGXZMTlhdKc4EnZHlTYiYlYonnCDl06YChlDcYz_G-AHvWLygH4cA8buYxvy-gmn02HXrDmKxgJj9xx7OyVEDXcKL3X1G3u5uXxf35ePz8mFx81h6qcVU6uCYMcbJpvaonIRQMyGUU6CBUVeBQ09DA0o30giA2tHA66A4R23QKX5Grra6qzh-rTFNtm_T5jsw4LhOltba8MpoLjOqt6iPY0oRG7uKbZ_3sLSymxjt3xitFHYTYx693LmsXW7uB39zy8DzFvjMmb3jHoA4tb7Df5Up29SdxZ70HxAtDvwH_l6SBA</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Akiyama, Shintaro</creator><creator>Imamura, Tsunao</creator><creator>Koyama, Rikako</creator><creator>Tamura, Tetsuo</creator><creator>Koizumi, Yuko</creator><creator>Takeuchi, Kazuo</creator><general>The Japanese Society of Internal Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Adrenal Metastasis and Hemorrhage Secondary to Hepatocellular Carcinoma</title><author>Akiyama, Shintaro ; Imamura, Tsunao ; Koyama, Rikako ; Tamura, Tetsuo ; Koizumi, Yuko ; Takeuchi, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-8db2999b5f6ce7b5ad62447b7a8a21b0abec1dfa78f594aa6b1d36d733e89eb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adrenal Gland Neoplasms - secondary</topic><topic>adrenal metastasis</topic><topic>Aged</topic><topic>Blood Transfusion</topic><topic>Carcinoma, Hepatocellular - complications</topic><topic>Carcinoma, Hepatocellular - secondary</topic><topic>Embolization, Therapeutic - methods</topic><topic>Hemorrhage - therapy</topic><topic>hepatocellular carcinoma</topic><topic>Humans</topic><topic>Liver Neoplasms - pathology</topic><topic>Male</topic><topic>retroperitoneal hemorrhage</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akiyama, Shintaro</creatorcontrib><creatorcontrib>Imamura, Tsunao</creatorcontrib><creatorcontrib>Koyama, Rikako</creatorcontrib><creatorcontrib>Tamura, Tetsuo</creatorcontrib><creatorcontrib>Koizumi, Yuko</creatorcontrib><creatorcontrib>Takeuchi, Kazuo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akiyama, Shintaro</au><au>Imamura, Tsunao</au><au>Koyama, Rikako</au><au>Tamura, Tetsuo</au><au>Koizumi, Yuko</au><au>Takeuchi, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adrenal Metastasis and Hemorrhage Secondary to Hepatocellular Carcinoma</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>54</volume><issue>12</issue><spage>1513</spage><epage>1517</epage><pages>1513-1517</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 66-year-old man was admitted to undergo treatment for the sudden onset of hypogastric pain radiating to the left flank. Based on the clinical presentation and radiological findings, left adrenal hemorrhage secondary to hepatocellular carcinoma was diagnosed. Although the patient was hemodynamically stable, anemia progressed over the first four days after admission and a blood transfusion was subsequently initiated, which was effective. According to the results of interval imaging with computed tomography, elective transcatheter embolization (TAE) was performed nine days after admission to treat the bleeding from the adrenal tumor. After TAE, the patient's abdominal pain resolved, with no further progression of anemia.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>26073241</pmid><doi>10.2169/internalmedicine.54.4115</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2015, Vol.54(12), pp.1513-1517 |
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| language | eng |
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| subjects | Adrenal Gland Neoplasms - secondary adrenal metastasis Aged Blood Transfusion Carcinoma, Hepatocellular - complications Carcinoma, Hepatocellular - secondary Embolization, Therapeutic - methods Hemorrhage - therapy hepatocellular carcinoma Humans Liver Neoplasms - pathology Male retroperitoneal hemorrhage Tomography, X-Ray Computed Treatment Outcome |
| title | Adrenal Metastasis and Hemorrhage Secondary to Hepatocellular Carcinoma |
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