title: Adrenal insufficiency secondary to adrenal hemorrhage. Two case reports and a review of cases confirmed by computed tomography.
abstract: We report two cases of adrenal hemorrhage and review 17 others that were confirmed by hormone measurements and computed tomography. Precipitating factors included heparin therapy, surgery, hypotension, and sepsis. Heparin-associated thrombocytopenia may be an underappreciated cause of adrenal hemorrhage. Despite the availability of computed tomography, adrenal hemorrhage mimics many other diseases, and an early diagnosis remains difficult.
authors.affiliation: Department of Internal Medicine, Gundersen Clinic, Ltd, La Crosse, WI 54601.
authors.forename: P J
authors.initials: PJ
authors.lastname: Dahlberg
authors.forename: M H
authors.initials: MH
authors.lastname: Goellner
authors.forename: G B
authors.initials: GB
authors.lastname: Pehling
mesh_terms: D000307:Adrenal Gland Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D000309:Adrenal Insufficiency / Q000209:etiology*; D000328:Adult; D006470:Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed