Unilateral Adrenal Infarction in Pregnancy: A Case Report
Adrenal infarction is usually associated with bilateral adrenal hemorrhage in the setting of antiphospholipid syndrome or hemodynamic variation. Few cases of unilateral non-hemorrhagic adrenal infarction have been described in the literature. Here, we report a case occurring during pregnancy. A 27-...
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| Format: | Article |
| Language: | English |
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Medical Network
2022-08-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1264 |
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| author | Awatef Hajjaji Yosra Jemma Amina Mnejja Ines Zouari Imen Ghaddab Fethi Jebali Lotfi Gratti Raja Faleh |
| author_facet | Awatef Hajjaji Yosra Jemma Amina Mnejja Ines Zouari Imen Ghaddab Fethi Jebali Lotfi Gratti Raja Faleh |
| author_sort | Awatef Hajjaji |
| collection | DOAJ |
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Adrenal infarction is usually associated with bilateral adrenal hemorrhage in the setting of antiphospholipid syndrome or hemodynamic variation. Few cases of unilateral non-hemorrhagic adrenal infarction have been described in the literature. Here, we report a case occurring during pregnancy. A 27-year-old woman was infected by coronavirus four months ago and presented at 35 weeks of gestation with sudden-onset right abdominal pain without contractions. Unilateral adrenal infarction was diagnosed following computed tomography. It showed an enlarged right adrenal, without hyperenhancement. The patient’s adrenal hormonal function was normal. Accurate diagnosis of non-hemorrhagic adrenal infarction remains difficult as its clinical presentation is not specific. It can only be performed with adrenal imaging. Magnetic resonance imaging shows diffuse enlargement of one or both adrenals and edema on T2-weighted images. Anticoagulation therapy may be discussed. Patients should be evaluated between 3 and 6months after the event to assess adrenal size and function. In summary, non-hemorrhagic adrenal infarction during pregnancy is probably underdiagnosed and obstetricians should be aware of this diagnostic difficulty.
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| format | Article |
| id | doaj-art-6c7aae47f00f4ca9a85257c975e2b341 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-6c7aae47f00f4ca9a85257c975e2b3412025-02-11T21:15:39ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182022-08-0128210.21613/GORM.2022.1264Unilateral Adrenal Infarction in Pregnancy: A Case ReportAwatef Hajjaji0Yosra Jemma1Amina Mnejja2 Ines Zouari3 Imen Ghaddab4 Fethi Jebali5 Lotfi Gratti6Raja Faleh7hospitalGynécologistehospitalhospitalhospitalhospitalhospitalhospital Adrenal infarction is usually associated with bilateral adrenal hemorrhage in the setting of antiphospholipid syndrome or hemodynamic variation. Few cases of unilateral non-hemorrhagic adrenal infarction have been described in the literature. Here, we report a case occurring during pregnancy. A 27-year-old woman was infected by coronavirus four months ago and presented at 35 weeks of gestation with sudden-onset right abdominal pain without contractions. Unilateral adrenal infarction was diagnosed following computed tomography. It showed an enlarged right adrenal, without hyperenhancement. The patient’s adrenal hormonal function was normal. Accurate diagnosis of non-hemorrhagic adrenal infarction remains difficult as its clinical presentation is not specific. It can only be performed with adrenal imaging. Magnetic resonance imaging shows diffuse enlargement of one or both adrenals and edema on T2-weighted images. Anticoagulation therapy may be discussed. Patients should be evaluated between 3 and 6months after the event to assess adrenal size and function. In summary, non-hemorrhagic adrenal infarction during pregnancy is probably underdiagnosed and obstetricians should be aware of this diagnostic difficulty. https://gorm.com.tr/index.php/GORM/article/view/1264Adrenal infarctionAdrenal thrombosisEndocrinology Non-hemorrhagic adrenal infarction Pregnancy |
| spellingShingle | Awatef Hajjaji Yosra Jemma Amina Mnejja Ines Zouari Imen Ghaddab Fethi Jebali Lotfi Gratti Raja Faleh Unilateral Adrenal Infarction in Pregnancy: A Case Report Gynecology Obstetrics & Reproductive Medicine Adrenal infarction Adrenal thrombosis Endocrinology Non-hemorrhagic adrenal infarction Pregnancy |
| title | Unilateral Adrenal Infarction in Pregnancy: A Case Report |
| title_full | Unilateral Adrenal Infarction in Pregnancy: A Case Report |
| title_fullStr | Unilateral Adrenal Infarction in Pregnancy: A Case Report |
| title_full_unstemmed | Unilateral Adrenal Infarction in Pregnancy: A Case Report |
| title_short | Unilateral Adrenal Infarction in Pregnancy: A Case Report |
| title_sort | unilateral adrenal infarction in pregnancy a case report |
| topic | Adrenal infarction Adrenal thrombosis Endocrinology Non-hemorrhagic adrenal infarction Pregnancy |
| url | https://gorm.com.tr/index.php/GORM/article/view/1264 |
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