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

Hdl Handle:
http://hdl.handle.net/10147/605731
Title:
Bilateral adrenal haemorrhage secondary to intra-abdominal sepsis: a case report
Authors:
Egan, Aoife M; Larkin, John O; Ryan, Ronan S; Waldron, Ronan
Citation:
Cases Journal. 2009 Jun 09;2(1):6894
Issue Date:
9-Jun-2009
URI:
http://dx.doi.org/10.4076/1757-1626-2-6894; http://hdl.handle.net/10147/605731
Abstract:
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:
en
Keywords:
SEPSIS; ADRENAL HAEMORRHAGE

Full metadata record

DC FieldValue Language
dc.contributor.authorEgan, Aoife Men
dc.contributor.authorLarkin, John Oen
dc.contributor.authorRyan, Ronan Sen
dc.contributor.authorWaldron, Ronanen
dc.date.accessioned2016-04-18T14:15:52Zen
dc.date.available2016-04-18T14:15:52Zen
dc.date.issued2009-06-09en
dc.identifier.citationCases Journal. 2009 Jun 09;2(1):6894en
dc.identifier.urihttp://dx.doi.org/10.4076/1757-1626-2-6894en
dc.identifier.urihttp://hdl.handle.net/10147/605731en
dc.description.abstractAbstract 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.en
dc.language.isoenen
dc.subjectSEPSISen
dc.subjectADRENAL HAEMORRHAGEen
dc.titleBilateral adrenal haemorrhage secondary to intra-abdominal sepsis: a case reporten
dc.language.rfc3066enen
dc.rights.holderlicensee BioMed Central Ltd.en
dc.date.updated2016-04-15T16:04:02Zen
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