[Acute adrenal gland decompensation in the immediate postpartum].
We report the case of acute adrenal gland failure which occurred one hour after cesarian section for the delivery of a child after 31 weeks of amenorrhoea. The clinical picture of the mother was immediately severe and was dominated by neurological features: profound coma with a bilateral Babinski's sign. The laboratory tests however only revealed severe hypoglycaemia among the classical signs of adrenal gland failure. It was extremely difficult to correct the blood glucose level without concomitant administration of corticosteroids.
Guivarc'h-Lévêque
A
A
Clinique Gynécologie-Obstétricale A, Hôtel-Dieu, Rennes.
Vovan
J M
JM
Le Bervet
J Y
JY
Broux
P L
PL
Giraud
J R
JR
D000208:Acute Disease; D000309:Adrenal Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000378:metabolism; D000328:Adult; D000450:Aldosterone / Q000097:blood; D001786:Blood Glucose; D002585:Cesarean Section; D003128:Coma / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000031:analogs & derivatives / Q000378:metabolism / Q000627:therapeutic use; D007003:Hypoglycemia / Q000097:blood / Q000209:etiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000378:metabolism; D001405:Reflex, Babinski
D001786:Blood Glucose; D000450:Aldosterone; C007133:hydrocortisone hemisuccinate; D006854:Hydrocortisone
Décompensation surrénalienne aiguë dans le post-partum immédiat.