Thrombose veineuse surrénalienne en cours de grossesse

Schmitt, C.; Debord, M.-P.; Grangé, C.; Cheikh, A. Ben; Krauth, J.-S.; Dupuis, Olivier; Golfier, François; Raudrant, D.

doi:10.1016/j.jgyn.2009.09.012

Cited by 9 publications

(4 citation statements)

References 12 publications

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“…Moreover, in four cases, we noted a hereditary or acquired thrombophilic disorder. Three patients were found to have increased factor VIII activity [3], one patient had a factor V Leiden mutation [9], and one patient was found to have a heterozygous C677T polymorphism in the gene encoding methylenetetrahydrofolate reductase (MTHFR) [10]. Three patients did not receive any therapeutic treatment.…”

Section: Literature Reviewmentioning

confidence: 99%

Non-Hemorrhagic Adrenal Infarction during Pregnancy: The Diagnostic Imaging Keys

et al. 2021

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Background: non-hemorrhagic adrenal infarction (NHAI) is a rare cause of acute abdominal/flank pain during pregnancy; in order to ensure prompt and appropriate treatment, this diagnosis should not be overlooked. This case series highlights pertinent imaging findings, including ultrasounds (USs), computed tomography (CT), and magnetic resonance imaging (MRI) of recent NHAI cases. Methods: we compiled all consecutive NHAI cases from two university hospitals over a two-year period and checked the relevant clinical, laboratory, and imaging findings. Relevant articles on NHAI published from January 2010 to March 2021 were analyzed. Results: six cases were found in our database. CT-scans typically showed enlarged, hypodense, and non-enhanced adrenal glands. Unenhanced MRIs allowed for diagnoses and showed enlarged adrenal glands in the signal hyperintensity on T2 and diffusion-weighted imaging, without any signal hyperintensity on T1. In two of our six cases, USs showed swollen adrenal glands with fluid collection. Conclusion: NHAI and its differential diagnosis—in cases of acute pain during pregnancy—highlight the crucial roles of integrated radiological examination and cooperation between obstetricians and radiologists, both of whom should consider the location of the pain, the accessibility and tolerance of MRI, and the radiation exposure of CT. Despite its supposed poor sensitivity, an US performed because the patient reports pain should also be used to examine the adrenal gland regions. Non-enhanced MRI is clearly of value and access to it in emergencies is important to avoid radiation exposure

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Section: Literature Reviewmentioning

confidence: 99%

Non-Hemorrhagic Adrenal Infarction during Pregnancy: The Diagnostic Imaging Keys

et al. 2021

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“…We wanted to compare our population to the literature, by carrying out a systematic review of articles published over the same 2012 to 2022 period. That way, a systematic twenty-four case review, spread over fifteen articles [ 1 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ], was made. Table 2 summarizes the clinical, biological, radiological and etiological presentations of these patients.…”

Section: Resultsmentioning

confidence: 99%

Adrenal Gland Necrosis in Pregnancy: How to Manage? Case Series at Nantes University Hospital and Literature Review

Guyon,

Degez,

Artifoni

et al. 2023

JCM

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Adrenal necrosis is a rare but serious cause of abdominal pain of thrombotic origin during pregnancy. There is often a delay in diagnosis and treatment. The objective was to specify the clinical and paraclinical signs suggestive of adrenal necrosis, making it possible to improve the delay in diagnostic. The secondary objective was to establish a multidisciplinary protocol regarding management. This is a case report of pregnant women with a radiological diagnosis of adrenal gland necrosis. In parallel, we carried out a systematic review in the same period. We studied these patients’ clinical, biological and radiological data. We included eight patients with a computed tomography scan diagnosis of adrenal necrosis and fifteen articles in the literature describing twenty-four cases. All the patients presented with the same symptoms. The treatment was based on curative anticoagulation. The diagnosis of adrenal gland necrosis is worth suggesting in view of the array of sudden morphine-resistant abdominal pain associated with a biological inflammatory syndrome. The diagnosis is based on the computed tomography scan. Three to six months of curative anticoagulation is recommended as well as a thrombophilia and endocrinological assessment to rule out adrenal insufficiency.

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“…Le cas décrit dans la littérature [3] concernait une primigeste de 29 ans, enceinte de 36SA dont la symptomatologie était superposable à celle de nos deux patientes et chez qui une mutation hétérozygote du Facteur V Leyden a été décelée [4]. Cette patiente est de nouveau enceinte l'année suivante.…”

Section: Discussionunclassified

“…Les atteintes bilatérales sont classiquement rapportées dans deux situations : d'une part, les patients porteurs d'un Syndrome des Anti-PhosphoLipides (SAPL) [ d'une nécrose hémorragique surrénalienne bilatérale constitue de Syndrome de Waterhouse-Friderichson [2]. L'atteinte unilatérale est peu décrite avec un seul article répertorié [3], concernant une patiente porteuse d'une mutation hétérozygote du Facteur V Leyden. Nous rapportons deux cas de nécrose surrénalienne unilatérale au cours du 3 e trimestre de grossesse, survenues entre 2007 et 2010.…”

Section: Introductionunclassified

Ischémie aiguë unilatérale de la glande surrénale en cours du 3e trimestre de grossesse : à propos de deux cas

Hoen

Ziane

Grangé

et al. 2011

Gynécologie Obstétrique & Fertilité

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Thrombose veineuse surrénalienne en cours de grossesse

Cited by 9 publications

References 12 publications

Non-Hemorrhagic Adrenal Infarction during Pregnancy: The Diagnostic Imaging Keys

Non-Hemorrhagic Adrenal Infarction during Pregnancy: The Diagnostic Imaging Keys

Adrenal Gland Necrosis in Pregnancy: How to Manage? Case Series at Nantes University Hospital and Literature Review

Ischémie aiguë unilatérale de la glande surrénale en cours du 3e trimestre de grossesse : à propos de deux cas

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