TY - JOUR T1 - Adrenal haemorrhage as a complication of COVID-19 infection JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-239643 VL - 13 IS - 11 SP - e239643 AU - Noor Sharrack AU - Conal Thomas Baxter AU - Michael Paddock AU - Elizabeth Uchegbu Y1 - 2020/11/01 UR - http://casereports.bmj.com/content/13/11/e239643.abstract N2 - 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. ER -