Bilateral adrenal haemorrhage following right hemicolectomy

Peel, Natalie; Whitelaw, S. C.

doi:10.1007/s00384-010-1035-1

Cited by 6 publications

(5 citation statements)

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“…Other symptoms like neuropsychiatric presentations, hypotension and anaemia are uncommon (27). A number of conditions are reported to be associated with non-traumatic adrenal haemorrhage as mentioned previously (3,(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Recognition of these existing predisposing factors (in particular anticoagulant use) may help determine the initial management plan in this group of patients.…”

Section: Discussionmentioning

confidence: 93%

“…Literature on the management of adrenal haemorrhage is limited. In the published case reports, most patients are initially treated conservatively (5,(10)(11)(12)(13)(14). Surgical resection has been performed electively by either the open or laparoscopic approach (9,21).…”

Section: Original Articlementioning

confidence: 99%

“…Non-traumatic adrenal haemorrhage has been reported in association with underlying stress like sepsis, pregnancy, and after abdominal surgery (5)(6)(7)(8)(9)(10)(11)(12)(13)(14). During this period, there is a surge of circulating catecholamines and adrenocorticotrophic hormone (ACTH) that leads to vasoconstriction of the draining venules (15).…”

Section: Introductionmentioning

confidence: 99%

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Acute non-traumatic adrenal haemorrhage—management, pathology and clinical outcomes

Ali¹,

Singh²,

Balasubramanian³

2018

Gland Surg

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Background: Acute adrenal haemorrhage is a rare medical emergency. The aim of the series was to study the clinical presentation and management of patients presenting with acute non-traumatic adrenal haemorrhage. Methods: The records of patients presenting with an acute abdomen secondary to adrenal haemorrhage and treated in a tertiary endocrine surgical unit over a period of 6 years were reviewed. Results: Of the 11 included patients, there were 4 males and 7 females; the median [range] age at presentation was 58 [27-89] years. All were initially managed conservatively for bleeding, except one who underwent angioembolisation to ensure hemodynamic stability. Two patients underwent percutaneous drainage of persistent collection and suspected sepsis. Biochemical workup showed hyper function with metanephrine excess in 1 patient. Adrenalectomy was performed in 5 patients after a median [range] of 10 [7-11] weeks. Histology showed benign pathology in 2 patients, malignant in 2 patients and necrotic tumour in 1 patient. Two patients died of disseminated metastatic disease at 5 and 2 months after presentation with bleeding. Conservative management in the other 3 patients was successful at a median follow up of 26 [6-66] months. Conclusions: Acute adrenal haemorrhage is usually associated with an underlying pathology; which may be benign or malignant; functional or non-functional. Initial conservative management is preferred as it allows determination of functional status and elective surgery, if necessary.

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Section: Discussionmentioning

confidence: 93%

Section: Original Articlementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute non-traumatic adrenal haemorrhage—management, pathology and clinical outcomes

Ali¹,

Singh²,

Balasubramanian³

2018

Gland Surg

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“…Traumatic events, burns, pregnancy, antiphospholipid syndrome, heparin-associated thrombocytopenia, thrombophilic syndromes, anticoagulant therapy, and abdominal surgery are some of the other causes of adrenal bleeding [9–11]. …”

Section: Discussionmentioning

confidence: 99%

Bilateral Adrenal Hemorrhage in a Patient with Myelodysplastic Syndrome: Value of MRI in the Differential Diagnosis

Manganaro

Ansari

Barchetti

et al. 2013

Case Reports in Radiology

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Bilateral adrenal hemorrhage is a rare potentially life-threatening event that occurs either in traumatic or nontraumatic conditions. The diagnosis is often complicated by its nonspecific presentation and its tendency to intervene in stressful critical illnesses. Due to many disorders in platelet function, hemorrhage is a major cause of morbidity and mortality in patients affected by myeloproliferative diseases. We report here the computed tomography and magnetic resonance imaging findings of a rare case of bilateral adrenal hemorrhage in a patient with myelodysplastic syndrome, emphasizing the importance of MRI in the differential diagnosis.

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“…Even in the recent literature, several authors describe cases of misdiagnosed adrenal crisis especially in patients in their early postoperative period. Actually, likewise in our case, abdominal pain, fever, and hypotension are frequently misinterpreted as sepsis related to an anastomotic dehiscence [10] , [11] .…”

Section: Discussionmentioning

confidence: 49%

Nontraumatic adrenal hemorrhage: the adrenal stress

Serafino

Severino

Coppola

et al. 2017

Radiology Case Reports

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Bilateral adrenal hemorrhage is a rare condition, which is burdened by potentially life-threatening consequences related to the development of acute adrenal insufficiency. Despite treatment with stress-dose glucocorticoids, a mortality rate of 15% has been reported, which varies according to the severity of underlying predisposing illness and could be much more higher if the adrenal insufficiency is not promptly recognized. An early diagnosis is crucial, though, because of nonspecific clinical and laboratory findings, adrenal hemorrhage is rarely suspected. Therefore, imaging has a pivotal role for the diagnosis of this uncommon condition but, despite adrenal hematomas characteristically appear round or oval with peripheral fat stranding, their initial presentation could be ambiguous. The authors describe a case of postoperative bilateral adrenal hemorrhage initially presenting at computed tomography scan as thickening of both glands surrounded by fat stranding, which led to close monitoring of adrenal function before unequivocal hemorrhage developed.

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Bilateral adrenal haemorrhage following right hemicolectomy

Cited by 6 publications

References 0 publications

Acute non-traumatic adrenal haemorrhage—management, pathology and clinical outcomes

Acute non-traumatic adrenal haemorrhage—management, pathology and clinical outcomes

Bilateral Adrenal Hemorrhage in a Patient with Myelodysplastic Syndrome: Value of MRI in the Differential Diagnosis

Nontraumatic adrenal hemorrhage: the adrenal stress

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