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Case Reports
. 2013 Aug 23:2013:bcr2013009997.
doi: 10.1136/bcr-2013-009997.

Unilateral adrenal infarction in pregnancy

Paul-Ann D Green  1 , Ivan M Ngai, Tony T Lee, David J Garry
Affiliations
Case Reports

Unilateral adrenal infarction in pregnancy

Paul-Ann D Green et al. BMJ Case Rep. .

Abstract

A 25-year-old pregnant woman at 28 weeks gestational age presented with increasing abdominal pain and was found to have a unilateral adrenal infarction on a CT scan of the abdomen. Her medical history was unremarkable. There was no evidence of adrenal insufficiency with normal cortisol and adenocorticotropic hormone levels for pregnancy. Evaluation of thrombophilia disorders established the patient to be heterozygous for methylenetetrahydrofolatereductase C677T gene mutation as the only finding. The patient was anticoagulated to prevent contralateral thrombosis. At 32 weeks she experienced spontaneous rupture of membranes. One week later she delivered vaginally and remained anticoagulated for the puerperium.

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Figures

Figure 1
Figure 1
Coronal reconstructed CT with contrast of the abdomen. The adrenal glands are inverted ‘V’-shaped organs located above each kidney. The infarcted right adrenal gland (white arrow) is enlarged and decreased in enhancement compared to the normal left adrenal gland (black arrow).
See this image and copyright information in PMC

References

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