BACKGROUND Visceral venous aneurysms are exceedingly rare, and until now, there have been no reports of this phenomenon in the adrenal vasculature. This report details the first adrenal venous aneurysm reported in the literature. The aneurysm presented as an 18-cm mass that was initially suspected to be a hematoma or tumor on the basis of the complex medical history of the patient, which includ...

When an ultrasound is a diagnosis A male newborn of 3700 g., born after 40 weeks’ gestation via a vaginal dystotic delivery, Apgar 8 and 10 to 1’and 5’, had a fracture of the right clavicle. After about 48 hours he was admitted to our department for jaundice and hematoma of the right hemiscrotum (Fig.1), with no pain, no other symptoms. Scrotal Doppler US showed a normal testicle size and shape...

症例は76歳，女性．腹部エコーで右上腹部腫瘤を指摘された．CTで右上腹部に14cm大の腫瘤性病変を認め，右腎や肝臓を著明に圧排し辺縁に右副腎を認めた．内部は斑状に低吸収を呈し，造影にて辺縁に濃染を認めた．MRIではT2強調像で辺縁が低信号，内部は高信号と低信号が混在していた．副腎に発生した後腹膜chronic expanding hematoma（以下CEH）を疑った．5カ月後のCTで増大傾向を認めたため手術を施行した．周囲組織との癒着は剥離可能で，被膜を損傷することなく摘出した．標本は線維性被膜を伴う20cm大の巨大な嚢胞で，内腔に新旧混在する血腫と壊死組織，嚢胞壁に副腎を認めた．右副腎に発生した後腹膜CEHと診断した．CEHは手術や外傷を契機に発生し緩徐に増大する血腫であり，副腎原発はまれである．非常に巨大な腫瘤であったが，安全に被膜を含めた完全切除が可能であった．

Isolated adrenal gland adenoma hematomas are rare . We reported a case who was 45 yeras-old admitted to Emergency Service after a traffic accident and had an adrenal gland adenoma hematomas.

A 34-year-old man without previous medical history was brought to the Emergency Department (ED) after being involved in a motorcycle crash. He sustained trauma to the right side of the abdomen. On examination, multiple abrasions were noted in the right upper abdomen and the patient complained of severe pain. Bedside ultrasound was performed upon the patient’s arrival at the ED; it revealed a ma...

Although pituitary function is often impaired in pituitary apoplexy, the development of thyrotoxicosis is rare. We describe an unusual case of hypopituitarism due to pituitary apoplexy coexisting with transient hyperthyroidism. A 74-year-old woman presented with severe fatigue, palpitation, appetite loss, hypotension, and hyponatremia. Endocrine studies showed hyperthyroidism and anterior pitui...