Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 7 2016 8 8 Hemorrhage; Unusual Presentation of Adrenal Hemangioma 248 250 EN Elizabeth Johnson Ahmed Sherif Radiology Department, USF, Tampa, USA Fernando Bermudez Michael Markow Jennifer Eatrides Douglas Ivancsits AJMCR2016479 10.12691/ajmcr-4-7-9 2016 4 20 2016 6 5 2016 8 6 Cavernous hemangioma is a vascular tumor that are usually incidentally discovered during routine radiologic evaluation. Adrenal cavernous hemangioma is extremely rare benign tumor of the adrenal gland. We report a case of a 75 year old female presented to the emergency department with a bleeding adrenal cavernous hemangioma. A review of the literature, multimodality imaging features, and differential diagnosis of adrenal hemangioma is discussed.