Spontaneous retroperitoneal hemorrhage
Jón Bjarnason1,2
Luis Fernando Bazan Asencios1
Hjalti Már Þórisson1
Kristbjörn I. Reynisson1
1Department of Interventional Radiology, Landspitali National University Hospital, 2Department of Radiology, Landspitali National University Hospital.
Correspondence: Jón Bjarnason, jonbjarnason92@gmail.com
Key words: pseudoaneurysm, retroperitoneal hemorrhage, embolization, onyx.
A 50-year old male presented to our emergency department with sudden abdominal pain. Upon arrival he was diaphoretic, pale and tachycardic. A CT showed retroperitoneal hemorrhage with suspected tumor at the left adrenal gland. He was quickly stabilized with intravenous fluids and blood transfusion. Rebleed occurs roughly a week after discharge and a new CT showed a visceral pseudoaneurysm from the left middle adrenal artery. The pseudoaneurysm was embolized and the patient discharged in good condition. Follow-up MRI depicted reabsorption of the hematoma and no adrenal tumor. Thus, the etiology of the previous retroperitonal hemorrhage is considered spontaneous.