Evidence map›Paper›PMID 39336489›Full record

ArticleMedicina (Kaunas, Lithuania)2024

Successful Conservative Treatment of Maternal Spontaneous Unilateral Adrenal Hemorrhage Causing Severe Anemia in the Third Trimester of Pregnancy-A Case Report.

Tomasz Skołozdrzy, Jan Wojciechowski, Mirosław Halczak, Sylwester Michał Ciećwież, Maciej Ziętek, Maciej Romanowski

Abstract readCase Reports
In one paragraph

Article in Medicina (Kaunas, Lithuania), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Spontaneous Adrenal Hemorrhage in Pregnancy.Journal of clinical gynecology and obstetrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tomasz SkołozdrzyDepartment of General and Oncological Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0009-0003-8117-6971
Jan WojciechowskiDepartment of General and Oncological Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0009-0009-4171-0096
Mirosław HalczakDepartment of General and Oncological Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland.
Sylwester Michał CiećwieżDepartment of Perinatology, Obstetrics and Gynecology Pomeranian Medical University in Szczecin, 72-010 Police, Poland.ORCID 0000-0002-9586-5810
Maciej ZiętekDepartment of Perinatology, Obstetrics and Gynecology Pomeranian Medical University in Szczecin, 72-010 Police, Poland.
Maciej RomanowskiDepartment of General and Oncological Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland.ORCID 0000-0002-7401-9877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the case of a 32-year-old pregnant woman in the 32 + 3 weeks of pregnancy who presented to the hospital with an exacerbation of pain in the right flank. The diagnostic evaluation revealed the presence of severe anemia and a spontaneous adrenal hemorrhage (SAH) in the right adrenal gland. The patient was transferred to the Perinatology, Obstetrics and Gynecology Clinic with the intention of undergoing preterm childbirth. However, the doctors made a risky decision to wait until week 37 and to terminate the pregnancy at that point. The decision was right, as a cesarean section was performed without complications, and the patient gave birth to a healthy child. Spontaneous adrenal hemorrhage (SAH) is a rare condition, defined as spontaneous hemorrhage without trauma or anticoagulant therapy. Due to bleeding and damage to the adrenal cortex, SAH can lead to adrenal insufficiency. Because of its non-specific symptoms and potentially fatal outcomes for the patient and fetus, it should be considered during diagnostics.

Indexed as

AnemiaHemorrhagePregnancy Trimester, ThirdAdrenal Gland DiseasesAdrenal GlandsAdultCesarean SectionConservative TreatmentFemaleHumansPregnancyPregnancy ComplicationsPregnancy Complications, Hematologicadrenal hemorrhagepregnancyunilateral

Identifiers

PMID39336489
PMCPMC11434074

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.