Adrenal hemorrhage (AH) is a very rare and potentially life threatening disease, which may be secondary to the trauma or of and non-traumatic etiology. According to the literature the adrenocortical carcinoma (ACC), metastases to the suprarenal grands and phaeochromocytomas belongs to the most common causes of the AH.

Between the years 2012 and 2022 there were altogether 649 adrenalectomies in the Department of General, Endocrine and Vascular Surgery: 605 laparoscopic procedures and 44 open surgeries. In 199 cases there was a final diagnosis of AH, and in 39 cases it was confirmed with preoperative imaging examinations.

The study group included 199 patients with postoperative diagnosis of AH. It showed that in all patients with postoperative diagnosis were adrenal adenoma (n=68), Pheochromocytoma (n=54), Adenocarcionma (n=17). If we look more careful for the results we can find only 30% ( n=39) patients with preoperative diagnosis of AH. This group of 39 patients was prepared for expedited surgery. In this group of patients preoperative diagnosis of Ah were Pheochromocytoma 28% (N 11), Adenocarcinoma 10% (n=4), Adrenal adenoma 23% (n=9).

Bleeding into adrenal tumors is still an insufficiently understood topic due to its unpredictability and, as you can see in our material, of varying severity. Out of 199 patients, only 30% (n=39) were prepared for surgery with a preoperative diagnosis of AH, and most of them are pheochromocytoma. We suggest that is very important to prepare patients with preoperative diagnosis of AH to surgery using α-adrenoreceptor antagonists.