Cryptogenic adrenal infarction: a rare case of unilateral adrenal infarction in a pregnant woman

Adrenal infarction is a rare event, especially in pregnancy. The diagnosis is challenging because patients present with acute abdomen and initial workup are usually unrevealing. We present a case of unilateral adrenal infarction in a pregnant young woman without any other causes of thrombophilia, wh...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2019-03, Vol.12 (3), p.e228795
Main Authors: Agarwal, Krishna Adit, Soe, Myat Han
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Adrenal Gland Diseases - complications
Adrenal Gland Diseases - diagnosis
Adrenal glands
Adrenal Glands - blood supply
Case reports
Diagnosis, Differential
Female
Humans
Infarction - diagnosis
Mutation
Pregnancy
Pregnancy Complications - diagnosis
Rare Disease
Veins & arteries
Womens health
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Adrenal infarction is a rare event, especially in pregnancy. The diagnosis is challenging because patients present with acute abdomen and initial workup are usually unrevealing. We present a case of unilateral adrenal infarction in a pregnant young woman without any other causes of thrombophilia, who presented with acute abdominal pain and an unremarkable initial workup. MRI and contrast-enhanced CT scan revealed a non-haemorrhagic infarct of the right adrenal gland. Our case highlights the importance of considering this rare diagnosis in the differential for a pregnant woman with acute abdomen without any obvious surgical cause.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-228795