Diagnosis of Bilateral Adrenocortical Hemorrhage by Computed Tomography
Authors: LINDA LIU
Journal: Annals of Internal Medicine (1982)

Brief Reports1 November 1982Diagnosis of Bilateral Adrenocortical Hemorrhage by Computed TomographyLINDA LIU, M.D., MARVIN E. HASKIN, M.D., LESLIE I. ROSE, M.D., CHARLES E. BEMIS, M.D.LINDA LIU, M.D.Search for more papers by this author, MARVIN E. HASKIN, M.D.Search for more papers by this author, LESLIE I. ROSE, M.D.Search for more papers by this author, CHARLES E. BEMIS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-97-5-720 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAdrenocortical hemorrhage has been diagnosed on the basis of the clinical presentation and response to steroids (1) or autopsy findings (2). Prompt recognition of the disease has been difficult because of its similarity to other disorders. We report the diagnosis of a bilateral adrenocortical hemorrhage by computed tomography (CT), followed by biochemical confirmation of the diagnosis.A 63-year-old man was hospitalized because he had pain in the left inguinal region. His medical history included an extensive myocardial infarction. He had been taking sodium warfarin (Coumadin), 5 mg four times a week. On admission the patient was diagnosed as having an...References1. WEINBERG L and MCGAVECK T. The Waterhouse Friedrichsen syndrome: report of a case with recovery. N Engl J Med. 1945;232:95-101 CrossrefGoogle Scholar2. O'CONNELL T and ASTON S. Acute adrenal hemorrhage complicating anticoagulant therapy. Surg Gynecol Obstet. 1974;139:355-7. MedlineGoogle Scholar3. ROSE L, WILLIAMS G, JAGGER P, and LAULER D. The 48-hour adrenocorticotrophin infusion test for adrenocortical insufficiency. Ann Intern Med. 1970;73:49-54. LinkGoogle Scholar4. DLUHY R, HIMATHOGKAM T, and GREENFIELD M. 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Author, Article, and Disclosure InformationAuthors: LINDA LIU, M.D.; MARVIN E. HASKIN, M.D.; LESLIE I. ROSE, M.D.; CHARLES E. BEMIS, M.D.Affiliations: Hahnemann Medical College and Hospital Philadelphia, Pennsylvania PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBilateral adrenal hemorrhage: The unrecognized cause of hemodynamic collapse associated with heparin-induced thrombocytopenia*Treatment of Massive Retroperitoneal Hemorrhage from Adrenal Metastasis of HepatomaEmprego da tomografia computadorizada na detecção de alterações das adrenais em doentes com tuberculoseUnusual Presentations of Thoracic TumorsEvaluation and Management of Benign and Malignant Adrenal TumorsLe syndrome de Sheehan: une complication obstétricale toujours d'actualitéBilateral massive adrenal haemorrhage complicating anaphylactic shock: A case reportBilateral adrenal hemorrhage following laparoscopic cholecystectomyBilateral massive adrenal hemorrhagePostoperative primary adrenal failure from bilateral hemorrhagic adrenal infarction associated with coagulation factor XI deficiencyAdrenal Apoplexy after Coronary Artery Bypass Surgery Leading to Addisonian CrisisMassive retroperitoneal hemorrhage from adrenal gland metastasisAdrenal Insufficiency From Bilateral Adrenal HemorrhageCase 49-1989Clinically significant adrenal hemorrhage secondary to metastases computed tomography observationsReport of an unusual case of postoperative adrenal hemorrhage in a young womanHématomes des surrénales et héparineThrombopénies à l'héparine compliquées d'hématome des surrénales et d'insuffisance surrénalienne aiguëAdrenal Insufficiency in the Intensive Care SettingAddison’s DiseaseA Case of Weakness and Fatigue in a TeenagerComputed tomography appearance of adrenal vein thrombosisAcute Adrenal Insufficiency as a Complication of Urological SurgeryMassive adrenal hemorrhage secondary to metastatic lung carcinomaAdrenal CortexClinical clues to the cause of Addison's diseaseCurrent diagnostic approach to adrenal abnormalitiesCase 38-1984 1 November 1982Volume 97, Issue 5 Page: 720-721 Keywords Autopsy Computed axial tomography Endocrinology Hemorrhage Myocardial infarction Sodium Steroids ePublished: 1 December 2008 Issue Published: 1 November 1982 PDF downloadLoading ...