title: Spontaneous Bilateral Adrenal Haemorrhage after Duodenopancreatectomy: a case report.
abstract: it is difficult to diagnose because of its nonspecific presentation. This condition frequently occurs in association with an extreme physical stress and may lead to acute adrenal insufficiency or death if not promptly and properly treated. We report a rare case of acute bilateral adrenal hemorrhage with adrenal insufficiency following duodenopancreatectomy for ampulloma in absence of surgical complications. Early diagnosis and corticosteroid replacement with aggressive management of the precipitating pathology are essential to enable a successful outcome.
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: N
authors.initials: N
authors.lastname: Guglielmo
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: G M
authors.initials: GM
authors.lastname: Montalto
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Della Pietra
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Garofalo
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Mennini
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Melandro
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy.
authors.forename: P B
authors.initials: PB
authors.lastname: Berloco
mesh_terms: D000307:Adrenal Gland Diseases / Q000209:etiology*; D000309:Adrenal Insufficiency / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D011183:Postoperative Complications
keywords: Bilateral adrenal haemorrhage; Duodenopancreatectomy; Hydrocortisone intravenously