Open AccessCryptogenic adrenal infarction: a rare case of unilateral adrenal infarction in a pregnant woman
Author(s) -
Krishna A. Agarwal,
Myat Han Soe
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-228795
Subject(s) - medicine , adrenal disorder , acute abdomen , infarction , abdomen , radiology , differential diagnosis , acute abdominal pain , thrombophilia , abdominal pain , pregnancy , rare disease , adrenal gland , myocardial infarction , surgery , thrombosis , pathology , disease , insulin resistance , genetics , glucose homeostasis , biology , insulin
Adrenal 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.