Massive retroperitoneal adrenal hemorrhage secondary to lung cancer metastasis treated by adrenal artery embolization.
Massive retroperitoneal adrenal hemorrhage secondary to lung cancer metastasis treated by adrenal artery embolization.
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DOI：
10.3816/clc.2009.n.053
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发表时间：
2009-09-01
影响因子：
3.6
通讯作者：
Hesketh, Paul J
中科院分区：
文献类型：
--
作者：
Ambika, Santhosh;Melton, Andrea;Hesketh, Paul J
肺癌转移导致肾上腺出血是非常罕见的。一名54岁的女性，患有IV期非小细胞肺癌，已知双侧肾上腺转移，在接受化疗治疗时出现严重的右侧腹痛。腹部电脑断层扫描与静脉造影显示大量的右侧腹膜后出血。出血血管被确定为右肾上腺中动脉。患者成功接受了经导管栓塞术（TCE），并使用金属线圈闭塞了右侧肾上腺中动脉，腹痛消退，血红蛋白稳定。TCE可用于控制因肾上腺转移而引起的出血。
The development of adrenal hemorrhage from lung cancer metastasis is extremely rare. A 54-year-old woman with stage IV non-small-cell lung cancer and known bilateral adrenal metastasis developed severe right-sided abdominal pain while undergoing chemotherapy treatment. A computerized tomography scan of the abdomen with intravenous contrast demonstrated massive right-sided retroperitoneal hemorrhage. The bleeding vessel was identified as the right middle adrenal artery. The patient underwent successful transcatheter embolization (TCE) and occlusion of the right middle adrenal artery using metallic coils, with resolution of the abdominal pain and stabilization of her hemoglobin. TCE can be used to control hemorrhage arising from metastatic involvement of the adrenal gland.