Isolated Adrenal Hematoma Presenting as Acute Right Upper Quadrant Pain

Abdullah, Kalil G.; Stitzlein, Russell N.; Tallman, T.

doi:10.1016/j.jemermed.2009.11.022

Cited by 14 publications

(16 citation statements)

References 12 publications

(26 reference statements)

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“…The patient in this case presented with pain localised specifically to the RUQ. Although there are some cases of RUQ pain in adrenal insults, there are no reported cases of RUQ pain as a presenting feature with APS 5. Nonetheless, it is important to have a high level of clinical suspicion of AI in any patient with a background of APS who presents with abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Non-haemorrhagic, bilateral adrenal infarction in a patient with antiphospholipid syndrome along with lupus myocarditis

et al. 2016

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A 40-year-old woman with antiphospholipid syndrome presented with a 5-day history of right upper quadrant (RUQ) pain, radiating posteriorly, associated with fever and vomiting. She was admitted 1-week prior with an upper respiratory infection and erythema multiforme. Clinical assessment revealed sepsis with RUQ tenderness and positive Murphy's sign. Laboratory results showed raised inflammatory markers, along with renal and liver impairment. CT showed bilateral adrenal infarction and inferior vena cava thrombus. The patient was managed for sepsis and started on heparin. Further immunological investigations revealed a diagnosis of systemic lupus erythematous, an exacerbation of which culminated in lupus myocarditis. This case illustrates the importance of promptly recognising adrenal insufficiency in patients with antiphospholipid syndrome and the possible causative agents, which require careful consideration and exclusion to prevent further thrombotic events. It also highlights the importance of undertaking imaging, namely CT, in patients with antiphospholipid syndrome presenting with abdominal pain as well as considering concomitant autoimmune conditions.

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Section: Discussionmentioning

confidence: 99%

Non-haemorrhagic, bilateral adrenal infarction in a patient with antiphospholipid syndrome along with lupus myocarditis

et al. 2016

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“…Those are often accompanied with physical findings of fever, hypotension, abdominal tenderness or distension, and a palpable abdominal mass, as discussed elsewhere [2, 11]. …”

Section: Discussionmentioning

confidence: 99%

“…Symptoms and physical findings are not specific and vary among patients. Idiopathic, unilateral AH is a rare entity that either may have an acute presentation (e.g., idiopathic adrenal rupture) or may present as an asymptomatic adrenal mass, as has been reported by other series [1, 2]. Most authors concluded that it is usually caused by blunt abdominal trauma (traumatic adrenal rupture), but it also has occurred in liver transplant recipients and in patients with primary adrenal or metastatic tumors.…”

Section: Introductionmentioning

confidence: 85%

Idiopathic Unilateral Adrenal Haemorrhage and Adrenal Mass: A Case Report and Review of the Literature

Christoforides

Petrou

Loizou

2013

Case Reports in Surgery

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We report an unusual case of idiopathic unilateral adrenal haemorrhage (AH) in a 55-year-old patient. This rare case had two characteristics that made it worth of report. First, idiopathic adrenal haemorrhage is very uncommon, and second it was presented as a huge, 23 cm diameter and 2,123 gr weight, “silent” adrenal mass. It is important to distinguish a benign lesion like this from a neoplasm, although we were not able to identify it preoperatively and the diagnosis was only made after the excised specimen was examined by a group of experienced histopathologists. Only a few similar published cases, to our knowledge, are described in the worldwide literature and even fewer of this size.

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“…Adrenal haemorrhage (AH) is a relatively rare disorder with variable and non-specific presentation which may cause acute adrenal crisis, shock, and death if not recognized early and appropriately treated [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Adrenal haemorrhage in the new born: revisited

Al-Jurayyan¹,

Al-Hakami²,

Al-Jurayyan³

2018

biomedicalresearch

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Background: Adrenal haemorrhage (AH) in the new-born is not that uncommon and has been reported frequently. AH occurs most often after a traumatic delivery or complicated neonatal course. Design and setting: A retrospective, hospital-based study conducted at king Khalid university hospital (KKUH), endocrine service, Riyadh, Saudi Arabia, during the period January 2014 and July 2018. Methods: Medical records of neonates who had been diagnosed to have AH were reviewed. Data included age, sex, clinical manifestations, laboratory and radiological investigations. Results: During the period under review, five neonates were diagnosed to have adrenal haemorrhage. All were term male infants, who were delivered vaginally .one baby was large for gestational age (LGA), and three babies had perinatal hypoxemia. Clinical symptoms were not specific and diagnosis was confirmed by performing abdominal sonography (USG). Conclusion: AH should be recognised in the new-borns with nonspecific symptoms who had potential risk factors. Abdominal ultrasonography (USG) should be performed to diagnose AH, and monitor its progress. Adrenal hormone testing also should be performed.

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Isolated Adrenal Hematoma Presenting as Acute Right Upper Quadrant Pain

Cited by 14 publications

References 12 publications

Non-haemorrhagic, bilateral adrenal infarction in a patient with antiphospholipid syndrome along with lupus myocarditis

Non-haemorrhagic, bilateral adrenal infarction in a patient with antiphospholipid syndrome along with lupus myocarditis

Idiopathic Unilateral Adrenal Haemorrhage and Adrenal Mass: A Case Report and Review of the Literature

Adrenal haemorrhage in the new born: revisited

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