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Rare disease
CASE REPORT
Cryptogenic adrenal infarction: a rare case of unilateral adrenal infarction in a pregnant woman
  1. Krishna Adit Agarwal and
  2. Myat Han Soe
  1. Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts, USA
  1. Correspondence to Dr Krishna Adit Agarwal, krishnaadit{at}gmail.com

Abstract

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.

  • adrenal disorders
  • haematology (incl blood transfusion)
  • pregnancy
  • radiology

http://dx.doi.org/10.1136/bcr-2018-228795

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    Footnotes

    • Contributors KAA is responsible for the design of the work, analysis and interpretation of data, drafting the work, final approval of the version published and is accountable for all aspects of the work. MHS is responsible for the design of the work, analysis and interpretation of data, drafting the work, final approval of the version published and is accountable for all aspects of the work.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.