Unilateral adrenal infarction in pregnancy

Paul Ann D Green, Ivan M. Ngai, Tony T. Lee, David J. Garry

Research output: Contribution to journalArticle

11 Citations (Scopus)

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.

Original languageEnglish (US)
Article number009997
JournalBMJ Case Reports
DOIs
StatePublished - Aug 23 2013

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Infarction
Pregnancy
Adrenal Insufficiency
Spontaneous Rupture
Thrombophilia
Abdomen
Postpartum Period
Abdominal Pain
Gestational Age
Hydrocortisone
Pregnant Women
Thrombosis
Hormones
Mutation
Membranes
Genes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Green, P. A. D., Ngai, I. M., Lee, T. T., & Garry, D. J. (2013). Unilateral adrenal infarction in pregnancy. BMJ Case Reports, [009997]. https://doi.org/10.1136/bcr-2013-009997

Unilateral adrenal infarction in pregnancy. / Green, Paul Ann D; Ngai, Ivan M.; Lee, Tony T.; Garry, David J.

In: BMJ Case Reports, 23.08.2013.

Research output: Contribution to journalArticle

Green, Paul Ann D ; Ngai, Ivan M. ; Lee, Tony T. ; Garry, David J. / Unilateral adrenal infarction in pregnancy. In: BMJ Case Reports. 2013.
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