Radiological treatment of a spontaneously ruptured inferior adrenal artery aneurysm.

Abstract

BACKGROUND:

A 70-year-old man with a history of hypertension presented with severe epigastric discomfort that radiated to his back. CT revealed cystic kidney disease and a large retroperitoneal hemorrhage, and CT angiography identified an active bleeding point in the region of the left adrenal gland. Selective left renal angiography identified a small inferior adrenal artery aneurysm with active hemorrhage. The patient underwent successful transcatheter embolization with microcoils and polyvinyl alcohol microparticles to control the bleeding.

INVESTIGATIONS:

Blood tests, urinalysis, electrocardiography, triphasic CT with CT angiography.

DIAGNOSIS:

Ruptured left inferior adrenal artery aneurysm.

MANAGEMENT:

Access to the inferior adrenal artery was achieved with a microcatheter, followed by transcatheter embolization using a combination of polyvinyl alcohol microparticles distally and microcoils proximally to the aneurysm.

• Authors: James Manners, Rajinder Singh, Andrew Page, Andrew Adamson, Duncan McLean
• Journal: Nature reviews. Urology (Nat Rev Urol) Vol. 7 Issue 12 Pg. 694-8 (Dec 2010) ISSN: 1759-4820 [Electronic] England
• PMID: 21045799 (Publication Type: Case Reports, Journal Article)

Topics

• Adrenal Glands (blood supply)
• Aged
• Aneurysm, Ruptured (therapy)
• Arteries
• Embolization, Therapeutic
• Humans
• Male
• Radiography, Interventional