A Rare Case of Successful Embolization and Laparoscopic Surgery for Adrenal Cortical Adenoma with Massive Hemorrhage

Abstract

A 79-year-old female patient was admitted to our hospital with acute abdominal pain. Her medical history included diagnosis of adrenal tumor. Abdominal contrast-enhanced computed tomography (CT) showed massive adrenal? hemorrhage with intratumoral bleeding. She was diagnosed as having rupture of the left adrenal gland tumor. Her vital signs were stable, and she was afebrile. For control of the hemorrhage, we performed therapeutic embolization of the left superior and middle suprarenal arteries. She was discharged on the 9^th hospital day. Four months after the interventional radiology (IVR) procedure?, we performed laparoscopic adrenalectomy for the adrenal tumor. The resected tumor measured 3.0×5.2×3.0 cm in size. The final histopathological diagnosis was adrenal cortical adenoma. There are few reports of explosion rupture? spontaneous rupture? of an adrenal cortical adenoma. We successfully treated a case of spontaneous rupture of an adrenal cortical adenoma with massive hemorrhage by a combination of IVR procedure and laparoscopic surgery.