Rare Bilateral Adrenal Haemorrhage with Addisonian Crisis: When Risk Factors Come in Droves

Autor: Anders Boisen Jensen, Elise Durand, Vojtech Pavlicek
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Endocrinology, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6501
2090-651X
DOI: 10.1155/2020/8886537
Popis: Addisonian crisis is the life-threatening acute manifestation of adrenal insufficiency due to absolute or relative glucocorticoid deficiency. Adrenal haemorrhage is a rare condition of unknown incidence with the risk of adrenal insufficiency and death, not uncommonly first being diagnosed on the pathologists table. We report the case of a 68-year-old female patient with respiratory tract infection suffering acute life-threatening adrenal insufficiency caused by bilateral adrenal haemorrhages following orthopedic surgery while taking anticoagulation therapy. The patient rapidly deteriorated with hypotension, showing how important it is to consider a possible Addisonian crisis when this scenario occurs, especially with precipitating factors such as anticoagulant therapy, sepsis, or surgery.
Databáze: Directory of Open Access Journals
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