{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T17:34:27Z","timestamp":1785000867254,"version":"3.55.0"},"reference-count":25,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,10,31]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>Spontaneous unilateral adrenal haemorrhage (AH) is extremely rare. Its presentation is usually non-specific and requires a high degree of suspicion as it is associated with high morbidity and mortality if diagnosis is delayed. Hereby, we present a case of 67-year-old man with significant cardiac history presented with right-sided chest pain and non-specific abdominal pain. He was previously treated for non-ST elevation myocardial infarction 5 days ago prior to the current presentation. CT scan of abdomen and pelvis demonstrated a right-sided active AH. The patient subsequently underwent digital subtraction angiography. Angio-embolisation was attempted for the pseudoaneurysm but failed due to spasm of the vessel. He was managed conservatively and discharged after clinical improvement. Clinic review 6 months later showed significant size reduction of the pseudoaneurysm.<\/jats:p>","DOI":"10.1136\/bcr-2019-232539","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T04:45:14Z","timestamp":1575953114000},"page":"e232539","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm"],"prefix":"10.1136","volume":"12","author":[{"given":"Yi Th'ng","family":"Seow","sequence":"first","affiliation":[{"name":"Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"},{"name":"Department of General Surgery, St John of God Midland Public Hospital, Midland, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6272-4640","authenticated-orcid":false,"given":"Zi Qin","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of General Surgery, St John of God Midland Public Hospital, Midland, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sze Ling","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia"},{"name":"Department of General Surgery, St John of God Midland Public Hospital, Midland, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,12,9]]},"reference":[{"key":"2025082800583643000_12.12.e232539.1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/j.0954-6820.1964.tb00590.x","article-title":"Adrenal hemorrhage and necrosis in the adult","volume":"175","author":"Botteri","year":"1964","journal-title":"Acta Med Scand"},{"key":"2025082800583643000_12.12.e232539.2","article-title":"Adrenal necrosis and thrombosis in routine necropsies","volume":"31","author":"Plaut","year":"1955","journal-title":"Am J Pathol"},{"key":"2025082800583643000_12.12.e232539.3","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.jbspin.2014.10.016","article-title":"Catastrophic antiphospholipid syndrome presenting with bilateral massive adrenal haemorrhage. 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