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Case report
Anticoagulation-induced unilateral adrenal haemorrhage and pseudoaneurysm
  1. Yi Th'ng Seow1,2,
  2. Zi Qin Ng2 and
  3. Sze Ling Wong1,2
  1. 1 Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2 Department of General Surgery, St John of God Midland Public Hospital, Midland, Western Australia, Australia
  1. Correspondence to Dr Yi Th'ng Seow; yithngseow{at}


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.

  • general surgery
  • endocrinology
  • adrenal disorders

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  • Contributors YTS drafted the manuscript. ZQN and SLW participated in the deign of the study. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.