This Article Figures Only Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ryan, M F Articles by MacDonald, D Search for Related Content PubMed PubMed Citation Articles by Ryan, M F Articles by MacDonald, D

MRI diagnosis of bilateral adrenal vein thrombosis

¹ Department of Clinical Radiology, Mayo General Hospital, Castlebar, Co. Mayo, Ireland, Departments of ² Medical Imaging, ³ Medicine and ⁴ Clinical Pathology, Sunnybrook and Women's College Health Sciences Centre and the University of Toronto, Toronto, Ontario, Canada

Correspondence: Max F Ryan

We report a case of bilateral adrenal vein thrombosis in an adult female who had a history of breast cancer. The patient does not have clinical, serological or imaging evidence of metastatic disease 14 months from the initial diagnosis. Adrenal vein thrombosis is a rare entity. There have been no previous reports specifically stating an association between adrenal vein thrombosis and hypercoaguability, but there are many cases in the literature documenting venous thrombosis elsewhere within the body in patients with hypercoaguable states. Laboratory testing performed to exclude a hypercoaguable state, revealed heterozygosity for the Factor V Leiden mutation/activated protein C resistance and elevated factor VIII levels [3660 IU l^-1 (<1500)]. This is the first reported case of bilateral metachronous adrenal vein thrombosis in which MRI established the diagnosis.