Precocious ischemia preceding bilateral adrenal hemorrhage: A case report.
Adrenal
Hemorrhage
Tomographic imaging
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
25
01
2020
revised:
09
03
2020
accepted:
10
03
2020
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
30
4
2020
Statut:
epublish
Résumé
We present a case of a middle-age male who presented in emergency room with nonspecific abdominal pain. A contrast-enhanced computer tomography (ceCT) scan showed a reduced perfusion of both adrenal glands. The clinical examinations and the laboratory tests were negative for an adrenal pathological process. To reassess the adrenal ischemia, a second ceCT scan was performed 5 days later showing an acute bilateral adrenal hemorrhage. These findings demonstrated that the previous adrenal hypoperfusion represented the prodromal manifestation of a hemorrhagic intraglandular process. This case suggests that adrenal hypoperfusion detected on tomographic imaging dictates a prompt clinical management finalized to strictly monitor the potential evolution towards a more aggressive pathological condition and confirms the pivotal role of imaging in the diagnosis of such uncommon disorder.
Identifiants
pubmed: 32346458
doi: 10.1016/j.radcr.2020.03.013
pii: S1930-0433(20)30093-5
pmc: PMC7178323
doi:
Types de publication
Case Reports
Langues
eng
Pagination
803-807Informations de copyright
© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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