# Spontaneous Contralateral Adrenal Hemorrhage during Periduodenal Abscess Drain Placement

## TL;DR

A rare case of adrenal hemorrhage occurred during a medical procedure to drain an abdominal abscess, highlighting the need for close monitoring.

## Contribution

This case report highlights a rare complication of spontaneous adrenal hemorrhage during a periduodenal abscess drainage procedure.

## Key findings

- A 73-year-old male developed left adrenal hemorrhage during CT-guided drainage of a periduodenal collection.
- Symptoms included sudden back pain and hypertension, confirmed by CT imaging.
- The complication required treatment with IV analgesics and antihypertensives.

## Abstract

A spontaneous adrenal hemorrhage is a rare complication occurring in the setting of interventional radiology procedures. Here, we present the case of a 73-year-old male who underwent CT-guided drainage of a periduodenal collection. During the procedure, he developed sudden onset left back pain and hypertension, which revealed a left adrenal gland hemorrhage on CT imaging. Potential mechanisms for this complication include a physiological stress response, procedure-associated hypercoagulability, and direct trauma to the adrenal gland. Moreover, an adrenal hemorrhage should be monitored closely as it can lead to severe clinical consequences requiring treatment with IV analgesics and antihypertensives.