Cross-Sectional Imaging of Adrenal Masses

Wah, Tze Min; Guthrie, J.A.; Joyce, Adrian

doi:10.1007/978-1-84628-759-6_2

Cited by 1 publication

(1 citation statement)

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“…Like CT, the appearance of adrenal haemorrhage on MRI also depends on the progression of the bleeding. The most characteristic sign on MRI is the low signal ring on T2 sequences during the chronic phase [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Acute adrenal insufficiency following arthroplasty: a case report and review of the literature

et al. 2013

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BackgroundAcute adrenal insufficiency is a potentially lethal condition rarely caused by bilateral adrenal haemorrhage due to heparin use. Most of the times, it is difficult to establish the diagnosis, as symptoms are not specific. Few cases have been reported in the literature.Case presentationA 52-year-old Caucasian woman presented with abdominal pain, vomiting and weakness nine days after arthroplasty and heparin use. Hyperkalemia, low cortisol and high adrenocorticotropic hormone levels were found, indicating adrenal insufficiency. Magnetic resonance imaging of the upper abdomen was compatible with preceding adrenal haemorrhage. Hydrocortisone and fludrocortisone were administered. Review of the literature revealed 36 cases of postoperative adrenal haemorrhage which are presented briefly.ConclusionPostoperative acute adrenal insufficiency due to haemorrhage is a rare condition. If patients are treated based on clinical suspicion, they have good chances to survive. Hydrocortisone is given permanently in the majority of the patients.

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Section: Introductionmentioning

confidence: 99%