Rupture of Adrenal Artery Pseudoaneurysm with Late Manifestation of Hypovolemic Shock

Patient transferred to an intensive care unit idue to sudden low back pain of strong character associated with transient hemodynamic instability and the necessity of volume expansion and blood transfusion. Image exams showed a large retroperitoneal hematoma on the left abdomen and elongated left adrenal artery with 2.3 cm diameter with the presence of active leakage of the inferior adrenal artery. Intervencionist radiology was performed, and two pseudoaneurysms of the joint branch of the left adrenal / lumbar arteries were identified and treated. There are only two reported cases of traumatic adrenal artery pseudoaneurysm in the literature. This is the first report of hemorrhagic shock as a late manifestation of this condition.