Unilateral adrenal infarction in pregnancy with associated acute hypoadrenalism and subsequent spontaneous biochemical and radiological resolution.
Najeeb Zaheer ShahHarshal DeshmukhMuhammad Jawaid AkbarYamna SaeedShahzad AkbarShah MalikBelinda AllanPublished in: Clinical case reports (2022)
Adrenal infarction is a rare cause of abdominal pain during pregnancy, and if missed, it can result in devastating clinical consequences for the mother and the child. The authors report a case of a young female who presented with severe abdominal pain and nausea. The biochemistry showed raised inflammatory markers and significant lactic acidosis. As the cause of the symptoms was not clear and the patient continued to deteriorate, a contrast-enhanced CT abdomen and pelvis was done which was suggestive of an acute left adrenal infarction. Subsequently, the patient was confirmed to have biochemical hypoadrenalism and required replacement doses of hydrocortisone until recovery of the adrenal glucocorticoid reserve and anticoagulation for the duration of pregnancy. We discuss the workup including diagnostic imaging, follow-up, and considerations for future pregnancies in this case.
Keyphrases
- abdominal pain
- contrast enhanced
- liver failure
- magnetic resonance imaging
- preterm birth
- computed tomography
- diffusion weighted
- magnetic resonance
- respiratory failure
- drug induced
- pregnancy outcomes
- case report
- dual energy
- atrial fibrillation
- mental health
- high resolution
- venous thromboembolism
- pregnant women
- hepatitis b virus
- positron emission tomography
- image quality
- single molecule
- sleep quality