Adrenal insufficiency following unilateral adrenalectomy: a case report.
We report a case of resection of a unilateral adrenal pseudocyst that precipitated life-threatening adrenal insufficiency. The patient had extremis unresponsive to pressor agents in the immediate postoperative period. Hydrocortisone administration produced temporary resolution and a cosyntropin-stimulation test confirmed adrenal insufficiency. Because of the presence of an adrenal mass, the preoperative evaluation included a formal endocrinological evaluation. Thus, we were able to document the occurrence of acute postoperative primary adrenal insufficiency.
D000309:Adrenal Insufficiency; D000315:Adrenalectomy; D003560:Cysts / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis*