Acute pancreatitis complicated by spontaneous unilateral adrenal hemorrhage.
A 52-year-old lady with a history of hypertension, dilated cardiomyopathy and diabetes mellitus type 2, presented with severe upper abdominal pain and vomiting of 4 hours duration. Acute pancreatitis was diagnosed based on high serum amylase and an abdominal computerized tomography scan. On the 3rd day she developed fever, increasing abdominal pain and shortness of breath. A repeated computerized tomography scan showed severe pancreatic necrosis and right adrenal hemorrhage.
Ibrahim
Abdulsalam S
AS
Department of Medicine, Hamad Medical Corporation, Doha, Qatar. salam145@hotmail.com
Latif
Ali H
AH
D000307:Adrenal Gland Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013845:Thienamycins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D013845:Thienamycins; D015378:Imipenem