Open Access

RESIDENT’S CORNER

Retroperitoneal hematoma secondary to inferior adrenal artery spontaneous hemorrhage

Andrew J. Davidiuk, David D. Thiel

Department of Urology, Mayo Clinic, Jacksonville, Florida, USA
Address correspondence to Dr. David D. Thiel, Mayo Clinic, Department of Urology, 3-East Davis, 4500 San Pablo Road, Jacksonville, FL 32224 USA

Canadian Journal of Urology 2015, 22(6), 8105-8107.

Abstract

Spontaneous retroperitoneal hematoma (SRH) is a rare, potentially lethal entity that can arise from a variety of etiologies. We present a case of SRH secondary to hemorrhage from the right inferior adrenal artery in a 22-year-old woman. The patient presented to the emergency room with significant right flank pain, and computed tomography (CT) demonstrated a large, right-sided retroperitoneal hematoma with no identifiable etiology. Renal angiography revealed active extravasation from the right inferior adrenal artery. The patient was definitively treated with endovascular coiling of the ruptured artery, and long-term follow-up demonstrated resolution of the retroperitoneal hematoma.

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