Bilateral adrenal haemorrhage secondary to intra-abdominal sepsis: a case report.

2.50
Hdl Handle:
http://hdl.handle.net/10147/203249
Title:
Bilateral adrenal haemorrhage secondary to intra-abdominal sepsis: a case report.
Authors:
Egan, Aoife M; Larkin, John O; Ryan, Ronan S; Waldron, Ronan
Affiliation:
Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland and, 2Department of Radiology, Mayo General Hospital,Castlebar, Co. Mayo, Ireland., aoife.egan@gmail.com
Citation:
Cases J. 2009 Jun 9;2:6894.
Journal:
Cases journal
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203249
DOI:
10.4076/1757-1626-2-6894
PubMed ID:
19829879
Abstract:
INTRODUCTION: Bilateral adrenal haemorrhage is a rare cause of adrenal failure. Clinical features are non-specific and therefore a high index of suspicion must be maintained in patients at risk. Predisposing factors include infection, malignancy and the post-operative state. CASE PRESENTATION: We report the case of a patient who underwent a left hemicolectomy with primary anastomosis and formation of a defunctioning loop ileostomy for an obstructing colon carcinoma at the splenic flexure. En-bloc splenectomy was performed to ensure an oncologic resection. The patient developed a purulent abdominal collection post-operatively and became septic with hypotension and pyrexia. This precipitated acute bilateral adrenal haemorrhage with consequent adrenal insufficiency. Clinical suspicion was confirmed by radiological findings and a co-syntropin test. Following drainage of the collection, antibiotic therapy and corticosteroid replacement, the patient made an excellent recovery. CONCLUSION: This case highlights the importance of prompt diagnosis and treatment of adrenal failure. In their absence, this condition can rapidly lead to death of the patient.
Language:
eng
ISSN:
1757-1626 (Electronic); 1757-1626 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorEgan, Aoife Men_GB
dc.contributor.authorLarkin, John Oen_GB
dc.contributor.authorRyan, Ronan Sen_GB
dc.contributor.authorWaldron, Ronanen_GB
dc.date.accessioned2012-01-31T15:55:38Z-
dc.date.available2012-01-31T15:55:38Z-
dc.date.issued2012-01-31T15:55:38Z-
dc.identifier.citationCases J. 2009 Jun 9;2:6894.en_GB
dc.identifier.issn1757-1626 (Electronic)en_GB
dc.identifier.issn1757-1626 (Linking)en_GB
dc.identifier.pmid19829879en_GB
dc.identifier.doi10.4076/1757-1626-2-6894en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203249-
dc.description.abstractINTRODUCTION: Bilateral adrenal haemorrhage is a rare cause of adrenal failure. Clinical features are non-specific and therefore a high index of suspicion must be maintained in patients at risk. Predisposing factors include infection, malignancy and the post-operative state. CASE PRESENTATION: We report the case of a patient who underwent a left hemicolectomy with primary anastomosis and formation of a defunctioning loop ileostomy for an obstructing colon carcinoma at the splenic flexure. En-bloc splenectomy was performed to ensure an oncologic resection. The patient developed a purulent abdominal collection post-operatively and became septic with hypotension and pyrexia. This precipitated acute bilateral adrenal haemorrhage with consequent adrenal insufficiency. Clinical suspicion was confirmed by radiological findings and a co-syntropin test. Following drainage of the collection, antibiotic therapy and corticosteroid replacement, the patient made an excellent recovery. CONCLUSION: This case highlights the importance of prompt diagnosis and treatment of adrenal failure. In their absence, this condition can rapidly lead to death of the patient.en_GB
dc.language.isoengen_GB
dc.titleBilateral adrenal haemorrhage secondary to intra-abdominal sepsis: a case report.en_GB
dc.contributor.departmentDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland and, 2Department of Radiology, Mayo General Hospital,Castlebar, Co. Mayo, Ireland., aoife.egan@gmail.comen_GB
dc.identifier.journalCases journalen_GB
dc.description.provinceConnacht-

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