Dahlberg P J, Goellner M H, Pehling G B
Department of Internal Medicine, Gundersen Clinic, Ltd, La Crosse, WI 54601.
Arch Intern Med. 1990 Apr;150(4):905-9. doi: 10.1001/archinte.150.4.905.
We report two cases of adrenal hemorrhage and review 17 others that were confirmed by hormone measurements and computed tomography. Precipitating factors included heparin therapy, surgery, hypotension, and sepsis. Heparin-associated thrombocytopenia may be an underappreciated cause of adrenal hemorrhage. Despite the availability of computed tomography, adrenal hemorrhage mimics many other diseases, and an early diagnosis remains difficult.