ArticleBMC urology2019
Bilateral adrenal hemorrhage after hip arthroplasty: an initially misdiagnosed case.
Article in BMC urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 7 citations in OpenAlex.
- Screening criteria for drainage-free patients after retroperitoneal laparoscopic adrenal tumor resection and their prospective validation study value.Experimental and therapeutic medicine · 2026Article
- Bilateral Adrenal Hemorrhage After Laminectomy: A Rare Complication.JCEM case reports · 2026Article
- Spontaneous Contralateral Adrenal Hemorrhage during Periduodenal Abscess Drain Placement.Diagnostics (Basel, Switzerland) · 2024Article
- Bilateral adrenal hemorrhage: learning notes from clinical practice and literature review.Frontiers in endocrinology · 2023Review
- Article
- Adrenal hemorrhage and hemorrhagic masses; diagnostic workup and imaging findings.The British journal of radiology · 2021Review
- Case Report: COVID-19 with Bilateral Adrenal Hemorrhage.The American journal of tropical medicine and hygiene · 2020Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBilateral adrenal hemorrhage (BAH) is a rare but potentially catastrophic condition. Its clinical manifestation is often non-specific and sometimes difficult to be diagnosed in time. A 57-year-old woman, who presented with severe fatigue, nausea and vomiting after left hip arthroplasty due to her femoral neck fracture in a local hospital, was transferred to our medical center. Laboratory results revealed significant hyponatremia, low serum cortisol and elevated serum ACTH. Computed tomography (CT) showed a bilateral adrenal mass, measured 3.6 × 2.7 cm on the left and 3.4 × 2.3 cm on the right. Further magnetic resonance imaging (MRI) confirmed the diagnosis of BAH. The patient was prescribed with oral prednisolone acetate, 5 mg, tid, and her condition improved gradually. Nine months after, the patient was in good condition with 5 mg prednisolone acetate per day. CT revealed a clearly shrunken adrenal mass compared with 9 months ago.
conclusionsThis case illustrates the difficulty in making the diagnosis of BAH with atypical presentation. Such cases necessitate greater alertness on the part of the clinician and require rapid diagnosis and prompt glucocorticoid replacement for better clinical outcomes.
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