PT  - JOURNAL ARTICLE
AU  - Kheloud Aboueldahab
AU  - Joseph Yikona
AU  - Nayeem Hasan
TI  - Abnormal presentation of haemorrhagic adrenal cyst
AID  - 10.1136/bcr-2020-241303
DP  - 2021 May 01
TA  - BMJ Case Reports
PG  - e241303
VI  - 14
IP  - 5
4099  - http://casereports.bmj.com/content/14/5/e241303.short
4100  - http://casereports.bmj.com/content/14/5/e241303.full
SO  - BMJ Case Reports2021 May 01; 14
AB  - An 81-year-old patient presented with fever and lethargy for 3 weeks. There were no other signs or symptoms of infection. Detailed history revealed a fall onto his right flank, prior to the start of fever. All microbiological, autoimmune and oncological investigations were negative. CT scan of chest, abdomen and pelvis showed haemorrhage in a previously diagnosed simple adrenal cyst. The cyst was non-functioning. The patient continued to spike fever in the following 4 weeks, otherwise remained stable. The patient was managed conservatively as haemoglobin level was stable. Repeated scan showed signs of improvement. He was discharged after 5 weeks. He remained afebrile and asymptomatic at the planned endocrinology outpatient follow-up after 8 weeks.