{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:43:27Z","timestamp":1760143407788,"version":"build-2065373602"},"reference-count":13,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T00:00:00Z","timestamp":1707004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>A spontaneous adrenal hemorrhage is a rare complication occurring in the setting of interventional radiology procedures. Here, we present the case of a 73-year-old male who underwent CT-guided drainage of a periduodenal collection. During the procedure, he developed sudden onset left back pain and hypertension, which revealed a left adrenal gland hemorrhage on CT imaging. Potential mechanisms for this complication include a physiological stress response, procedure-associated hypercoagulability, and direct trauma to the adrenal gland. Moreover, an adrenal hemorrhage should be monitored closely as it can lead to severe clinical consequences requiring treatment with IV analgesics and antihypertensives.<\/jats:p>","DOI":"10.3390\/diagnostics14030334","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T08:41:43Z","timestamp":1707122503000},"page":"334","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Contralateral Adrenal Hemorrhage during Periduodenal Abscess Drain Placement"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8861-9494","authenticated-orcid":false,"given":"Eusha","family":"Hasan","sequence":"first","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Hempstead, NY 11549, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Lamba","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell, Hempstead, NY 11549, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abheek","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland Medical Center, Baltimore, MD 21201, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakob","family":"Kocharyan","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Moffitt Cancer Center, Tampa, FL 33612, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Al-Roubaie","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, Moffitt Cancer Center, Tampa, FL 33612, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Yeisley","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, David Grant USAF Medical Center, Fairfield, CA 94535, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/j.emc.2023.06.006","article-title":"Adrenal Emergencies","volume":"41","author":"Bridwell","year":"2023","journal-title":"Emerg. Med. Clin. N. Am."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/S0025-6196(11)63123-6","article-title":"Adrenal hemorrhage: A 25-year experience at the Mayo Clinic","volume":"76","author":"Vella","year":"2001","journal-title":"Mayo Clin. Proc."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1210\/clinem\/dgac672","article-title":"Approach to the Patient with Adrenal Hemorrhage","volume":"108","author":"Elhassan","year":"2023","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Logaraj, A., Tsang, V., Habir, S., and Ip, J. (2016). Adrenal crisis secondary to bilateral adrenal haemorrhage after hemicolectomy. Endocrinol. Diabetes Metab. Case Rep., 2016.","DOI":"10.1530\/EDM-16-0048"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Wang, L., Wang, X.F., Qin, Y.C., Chen, J., Shang, C.H., Sun, G.F., and Li, N.C. (2019). Bilateral adrenal hemorrhage after hip arthroplasty: An initially misdiagnosed case. BMC Urol., 19.","DOI":"10.1186\/s12894-019-0536-7"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2484","DOI":"10.1007\/s003300100854","article-title":"Adrenal hemorrhage after orthotopic liver transplantation: MR appearance","volume":"11","author":"Prokesch","year":"2001","journal-title":"Eur. Radiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.ijscr.2018.07.034","article-title":"Acute adrenal insufficiency due to adrenal hemorrhage complicating colorectal surgery: Report of two cases and correlation with the antiphospholipid antibody syndrome","volume":"51","author":"Kolinioti","year":"2018","journal-title":"Int. J. Surg. Case Rep."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S0025-7125(16)30087-6","article-title":"Bilateral massive adrenal hemorrhage","volume":"79","author":"Rao","year":"1995","journal-title":"Med. Clin. N. Am."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Ulrych, J., Kvasnicka, T., Fryba, V., Komarc, M., Malikova, I., Burget, F., Brzezkova, R., Kvasnicka, J., Krska, Z., and Kvasnicka, J. (2016). 28 day post-operative persisted hypercoagulability after surgery for benign diseases: A prospective cohort study. BMC Surg., 16.","DOI":"10.1186\/s12893-016-0128-3"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.thromres.2021.08.002","article-title":"Incidence, timing and risk factors of venous thromboembolic events in patients with pancreatic cancer","volume":"207","author":"Groen","year":"2021","journal-title":"Thromb. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1148\/radiol.2272011798","article-title":"Aldosteronomas: Experience with superselective adrenal arterial embolization in 33 cases","volume":"227","author":"Hokotate","year":"2003","journal-title":"Radiology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2799","DOI":"10.1016\/j.jacc.2019.09.057","article-title":"Primary Aldosteronism: JACC State-of-the-Art Review","volume":"74","author":"Rossi","year":"2019","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"681","DOI":"10.17219\/acem\/68897","article-title":"Adrenal hemorrhage: A single center experience and literature review","volume":"27","author":"Karwacka","year":"2018","journal-title":"Adv. Clin. Exp. Med."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/3\/334\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:54:37Z","timestamp":1760104477000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/3\/334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,4]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["diagnostics14030334"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14030334","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2024,2,4]]}}}