• BMJ case reports · Mar 2019

    Case Reports

    Cryptogenic adrenal infarction: a rare case of unilateral adrenal infarction in a pregnant woman.

    • Krishna Adit Agarwal and Myat Han Soe.
    • Baystate Medical Center, University of Massachusetts, Springfield, Massachusetts, USA.
    • BMJ Case Rep. 2019 Mar 27; 12 (3).

    AbstractAdrenal infarction is a rare event, especially in pregnancy. The diagnosis is challenging because patients present with acute abdomen and initial workup are usually unrevealing. We present a case of unilateral adrenal infarction in a pregnant young woman without any other causes of thrombophilia, who presented with acute abdominal pain and an unremarkable initial workup. MRI and contrast-enhanced CT scan revealed a non-haemorrhagic infarct of the right adrenal gland. Our case highlights the importance of considering this rare diagnosis in the differential for a pregnant woman with acute abdomen without any obvious surgical cause.© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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