RT Journal Article SR Electronic T1 Adrenal haemorrhage as a complication of COVID-19 infection JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e239643 DO 10.1136/bcr-2020-239643 VO 13 IS 11 A1 Noor Sharrack A1 Conal Thomas Baxter A1 Michael Paddock A1 Elizabeth Uchegbu YR 2020 UL http://casereports.bmj.com/content/13/11/e239643.abstract AB We report an unusual complication of COVID-19 infection in a 53-year-old Caucasian man. He presented with shortness of breath, fever and pleuritic chest pain. A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months’ time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.