Acute adrenal insufficiency resulting from adrenal hemorrhage as indicated by post-operative hypotension.
We examined the incidence, diagnosis and therapy of acute adrenal insufficiency, secondary to adrenal hemorrhage. This insufficiency resulted in temperature irregularities. hemodynamic instability, and a large volume resuscitation requirement post-operatively. The case illustrates that a high level of suspicion should be maintained in a clinical scenario that mimics sepsis or myocardial insufficiency in the intensive care unit.
University of Rochester, NY.
J E
JE
Szalados
R B
RB
Vukmir
D000208:Acute Disease; D000307:Adrenal Gland Diseases / Q000150:complications*; D000309:Adrenal Insufficiency / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D000368:Aged; D001833:Body Temperature Regulation; D015984:Causality; D003937:Diagnosis, Differential; D005260:Female; D006439:Hemodynamics; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D015994:Incidence; D007362:Intensive Care Units; D008279:Magnetic Resonance Imaging; D011183:Postoperative Complications; D012151:Resuscitation; D014057:Tomography, X-Ray Computed