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April 1973

Versatility of Adrenal Photoscanning: Diagnosis of Unilateral Adrenal Failure

Author Affiliations

Ann Arbor, Mich

From the Department of Internal Medicine, University of Michigan Medical School, Ann Arbor.

Arch Intern Med. 1973;131(4):554-557. doi:10.1001/archinte.1973.00320100082011

Selective adrenal phlebography is useful in detecting small adrenal tumors.1-4 However, there are several disadvantages inherent in this technique. First, about 5% of patients are sensitive to contrast media—a factor precluding the use of this method. Second, even in the most experienced hands, it is frequently impossible to direct the catheter into one of the adrenal veins, particularly the right one. Third, the technique requires the availability of a radiologist with great expertise in the manipulation of a catheter. The fourth and major disadvantage is the occasional occurrence of rupture of intra-adrenal capillaries in the course of the procedure, with extravasation of contrast material and hemorrhage into the gland.5 This complication may result in destruction of all glandular tissue within the capsule.4,6,7 There have been recent8-11 reports on the advantages of a new technique, adrenal photoscanning, for the diagnosis of adrenal abnormalities.

In the course of

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