[Acute adrenal insufficiency due to bilateral adrenal hematoma following severe thrombopenia induced by low-molecular-weight heparin].
BACKGROUND
Bilateral adrenal hematoma is an uncommon cause of acute adrenal insufficiency. An association with thrombopenia induced by low-molecular-weight heparin even more so. Diagnosis is difficult as the clinical manifestations mimic septic shock.


METHODS
A 63-year-old woman developed acute adrenal insufficiency due to bilateral adrenal hematoma following severe thrombopenia induced by low-molecular-weight heparin prescribed after an orthopedic operation. Outcome was favorable.


CONCLUSIONS
Acute adrenal insufficiency must be entertained as a possible diagnosis in patients with heparin-induced thrombopenia.
Caubet
O
O
Service de Réanimation médicale A, Hôpital tripode, Bordeaux.
Pillet
O
O
Cherifi
A
A
Mayet
T
T
Castaing
Y
Y
Favarel Garrigues
J C
JC
D000208:Acute Disease; D000309:Adrenal Insufficiency / Q000209:etiology*; D000925:Anticoagulants / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006495:Heparin, Low-Molecular-Weight / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D013921:Thrombocytopenia / Q000139:chemically induced*
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight
Insuffisance surrénalienne aiguë par hématome surrénalien bilatéral au décours d'une thrombopénie sévère induite par une héparine de bas poids moléculaire.