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Acute Abdominal Pain after Intercourse : Adrenal Hemorrhage as the First Sign of Metastatic Lung Cancer
Joint Authors
Wang, Jeremy
Packer, Clifford D.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Although the adrenal glands are a common site of cancer metastases, they are often asymptomatic and discovered incidentally on CT scan or autopsy.
Spontaneous adrenal hemorrhage associated with metastatic lung cancer is an exceedingly rare phenomenon, and diagnosis can be difficult due to its nonspecific symptoms and ability to mimic other intra-abdominal pathologies.
We report a case of a 65-year-old man with a history of right upper lobectomy seven months earlier for stage IB non-small cell lung cancer who presented with acute abdominal pain after intercourse.
CT scan revealed a new right adrenal mass with surrounding hemorrhage, and subsequent FDG-PET scan confirmed new metabolic adrenal metastases.
The patient’s presentation of abdominal pain and adrenal hemorrhage immediately after sexual intercourse suggests that exertion, straining, or increased intra-abdominal pressure might be risk factors for precipitation of hemorrhage in patients with adrenal metastases.
Management includes pain control and supportive treatment in mild cases, with arterial embolization or adrenalectomy being reserved for cases of severe hemorrhage.
American Psychological Association (APA)
Wang, Jeremy& Packer, Clifford D.. 2014. Acute Abdominal Pain after Intercourse : Adrenal Hemorrhage as the First Sign of Metastatic Lung Cancer. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-485016
Modern Language Association (MLA)
Wang, Jeremy& Packer, Clifford D.. Acute Abdominal Pain after Intercourse : Adrenal Hemorrhage as the First Sign of Metastatic Lung Cancer. Case Reports in Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-485016
American Medical Association (AMA)
Wang, Jeremy& Packer, Clifford D.. Acute Abdominal Pain after Intercourse : Adrenal Hemorrhage as the First Sign of Metastatic Lung Cancer. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-485016
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-485016