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Radiology, Vol 142, 67-69, Copyright © 1982 by Radiological Society of North America

ARTICLES

Failure to ablate the adrenal gland by injection of contrast material

NR Dunnick, JL Doppman and JR Gill Jr

Five attempts were made in 4 patients to infarct an adrenal gland containing an aldosterone-producing tumor, using vigorous retrograde injections of contrast material into the adrenal vein. Although a modest amount of tumor staining was attained in 3 patients, no clinical or laboratory changes were seen. Contrast extravasation appears to be a transient and benign complication. Adrenal vein thrombosis is probably responsible for the reported adrenal infarctions but can be prevented by systemic anticoagulation. The authors conclude that adrenal venography is a safe procedure whose potential risks are far outweighed by the decreased surgical complications when a functional adrenal tumor is accurately located preoperatively.


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