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Massive retroperitoneal adrenal hemorrhage secondary to lung cancer metastasis treated by adrenal artery embolization.
MedLine Citation:
PMID:  19808165     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Santhosh Ambika; Andrea Melton; David Lee; Paul J Hesketh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical lung cancer     Volume:  10     ISSN:  1938-0690     ISO Abbreviation:  Clin Lung Cancer     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100893225     Medline TA:  Clin Lung Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E1-4     Citation Subset:  IM    
Affiliation:
St. Elizabeth's Medical Center, Boston, MA 02135, USA.
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