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Idiopathic Bilateral Adrenal Hemorrhage in a 63-Year-Old Male: A Case Report and Review of the Literature
Joint Authors
Dhawan, Naveen
Bahl, Jaya
Thakur, Kshitij
Singh, Amandeep
Bodukam, Vijay
Jenkins, Donald
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Adrenal hemorrhage is a largely uncommon condition typically caused by a number of factors including infection, MI, CHF, anticoagulants, trauma, surgery, and antiphospholipid syndrome.
Yet, idiopathic bilateral hemorrhage is rare.
The authors present a case of a 63-year-old male who presented with abdominal pain that was eventually diagnosed as bilateral adrenal hemorrhages due to an unknown origin.
Abdominal CT revealed normal adrenal glands without enlargement, but an MRI displayed enlargement due to hemorrhage in both adrenals.
There was no known cause; the patient had not suffered from an acute infection and was not on anticoagulants, and the patient’s history did not reveal any of the other known causative factors.
The case underscores the importance of keeping bilateral adrenal hemorrhages on the list of differentials even when a cause is not immediately clear.
It also raises the question of whether CT is the most sensitive test in the diagnosis of adrenal hemorrhage and whether the diagnostic approach should place greater weight on MRI.
The case highlights the need for prompt therapy with steroids once bilateral hemorrhage is suspected to avert the development or progression of adrenal insufficiency.
American Psychological Association (APA)
Dhawan, Naveen& Bodukam, Vijay& Thakur, Kshitij& Singh, Amandeep& Jenkins, Donald& Bahl, Jaya. 2015. Idiopathic Bilateral Adrenal Hemorrhage in a 63-Year-Old Male: A Case Report and Review of the Literature. Case Reports in Urology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060239
Modern Language Association (MLA)
Dhawan, Naveen…[et al.]. Idiopathic Bilateral Adrenal Hemorrhage in a 63-Year-Old Male: A Case Report and Review of the Literature. Case Reports in Urology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1060239
American Medical Association (AMA)
Dhawan, Naveen& Bodukam, Vijay& Thakur, Kshitij& Singh, Amandeep& Jenkins, Donald& Bahl, Jaya. Idiopathic Bilateral Adrenal Hemorrhage in a 63-Year-Old Male: A Case Report and Review of the Literature. Case Reports in Urology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1060239
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060239