title: A case of bilateral adrenal haemorrhage following traumatic brain injury.
abstract: We report the case of a 57-year-old man who sustained an isolated severe traumatic brain injury (TBI). During his admission to the intensive care unit (ICU), he developed marked arterial hypotension of unclear cause. Eventually, the presence of renal angle tenderness on clinical examination and a low random-cortisol level lead to the suspicion of primary adrenal insufficiency. A computed tomography scan of his abdomen demonstrated new bilateral adrenal haemorrhages. This diagnosis is not unlikely to be missed, as symptoms and laboratory tests are often nonspecific.
authors.affiliation: Intensive Care Unit, St Vincent's Hospital, Sydney, Australia.
authors.forename: Mervyn
authors.initials: M
authors.lastname: Leong
authors.affiliation: Intensive Care Unit, St Vincent's Hospital, Sydney, Australia.
authors.forename: Madhav
authors.initials: M
authors.lastname: Pendyala
authors.affiliation: Department of Radiology, St Vincent's Hospital, Sydney, Australia.
authors.forename: Joga
authors.initials: J
authors.lastname: Chaganti
authors.affiliation: Intensive Care Unit, St Vincent's Hospital, Sydney, Australia.
authors.forename: Suhel
authors.initials: S
authors.lastname: Al-Soufi
keywords: Adrenal haemorrhage; Adrenal insufficiency; Traumatic brain injury