Postoperative bilateral adrenal hemorrhage: correlation between clinical and radiological signs

Abstract The case of a patient who developed progressive hemodynamic instability during the late postoperative period following oncologic abdominal surgery is presented. Suspecting the onset of intraabdominal infection, we ordered a computed tomographic scan of the area, on which bilateral adrenal h...

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Veröffentlicht in:	Journal of clinical anesthesia 2008-12, Vol.20 (8), p.605-608
Hauptverfasser:	Corsini, Lourdes Muñoz, PhD, Arnaiz, Cristina Delgado, MD, del Valle, Santiago Garcia, MD, Cortes, Pilar Reboto, MD, del Castillo, Antonio Lopez, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adrenal Gland Diseases - diagnostic imaging Adrenal Gland Diseases - etiology Adrenal glands Adrenal hemorrhage Adrenal insufficiency Adrenal Insufficiency - etiology Anesthesia Anesthesia & Perioperative Care Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Hemodynamic instability Hemorrhage - diagnostic imaging Hemorrhage - etiology Humans Hypothyroidism Male Medical imaging Medical sciences Middle Aged Mortality Pain Medicine Postoperative Complications - diagnostic imaging Postoperative infection Postoperative period Postoperative sepsis Sepsis Streptococcus infections Surgery Tomography, X-Ray Computed
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Zusammenfassung:	Abstract The case of a patient who developed progressive hemodynamic instability during the late postoperative period following oncologic abdominal surgery is presented. Suspecting the onset of intraabdominal infection, we ordered a computed tomographic scan of the area, on which bilateral adrenal hemorrhage was observed. Adrenal function tests confirmed the presence of adrenal insufficiency.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2008.05.024