Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8631743 | Journal of Clinical and Translational Endocrinology: Case Reports | 2018 | 14 Pages |
Abstract
Adrenal insufficiency due to hemorrhagic adrenal infarction is a rare complication of hypercoagulable states. It usually manifests as bilateral adrenal hemorrhage with primary adrenal insufficiency. Here we report a 56-year-old male with known history of autoimmunity on chronic glucocorticoids, who presented with acute abdominal pain and hypertension. Initial imaging and biochemical evaluation was suspicious for a pheochromocytoma. However, subsequently he developed bilateral adrenal hemorrhage with clinical and biochemical evidence of primary adrenal insufficiency. A concurrent massive pulmonary embolism raised a high suspicion for a hypercoagulable state, which was not confirmed by laboratory evaluation, although a thorough evaluation could not be completed. This case highlights the rare occurrence of sequential bilateral adrenal hemorrhage which can be caused by hypercoagulable states, and biochemically mimic a pheochromocytoma.
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Authors
Konstantinos Segkos, Trevor Short, Steven W. Ing,