case_images: PMC9242798_01
case_images: Bilateral adrenal masses in favor of adrenal hematoma.
case_images: CRIM2022-5335543.001.jpg
case_images: PMC9242798_01_CRIM2022-5335543.001.jpg
case_images: fig1
case_images: CT scan with the adrenal protocol was performed that revealed huge splenomegaly (spleen span: 25 cm) and bilateral adrenal masses (right adrenal gland: 40 * 29 mm, left adrenal gland: 48 * 26 mm) without any enhancement and 50 HU subsequently in favor of adrenal hematoma (Figure 1). Comprehensive adrenal glands assessment was performed and revealed the followings: aldosterone; 45 pg/ml (reference range: 30-400 pg/ml), plasma renin; 12 pg/ml (reference range: 12-36 pg/ml), 17 (OH) progesterone; 1.3 ng/ml (reference range: 0.2-2.3 ng/ml) and dehydroepiandrosterone sulfate (DHEAS); 25 mcg/dl (reference range: 56-80 mcg/dl).
case_images: Resolved bilateral adrenal hematoma during follow-up assessment.
case_images: CRIM2022-5335543.002.jpg
case_images: PMC9242798_01_CRIM2022-5335543.002.jpg
case_images: fig2
case_images: The adrenal hematoma was resolved gradually through periodic ultrasound assessments, and there was no evidence of adrenal masses on the abdominal CT scan 15 months after his discharge (Figure 2).