Acute adrenal insufficiency following unilateral radical nephrectomy: a case report.
Adrenal insufficiency following unilateral radical nephrectomy has not been previously described in medical literature. We present a 78-year-old male patient who experienced a difficult postoperative course with vague findings, and was ultimately diagnosed with acute adrenal insufficiency. Treatment with glucocorticoids and mineralocorticoids resulted in prompt control of the disease.
Safir
M H
MH
Department of Urology, Northwestern University Medical School, Chicago, Illinois, USA.
Smith
N
N
Hansen
L
L
Kozlowski
J M
JM
D000309:Adrenal Insufficiency / Q000188:drug therapy / Q000209:etiology*; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery; D003907:Dexamethasone / Q000627:therapeutic use; D005438:Fludrocortisone / Q000627:therapeutic use; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007680:Kidney Neoplasms / Q000601:surgery; D008297:Male; D008901:Mineralocorticoids / Q000627:therapeutic use; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications
D005938:Glucocorticoids; D008901:Mineralocorticoids; D003907:Dexamethasone; D005438:Fludrocortisone; D006854:Hydrocortisone