Dunlap S K, Meiselman M S, Breuer R I, Panella J S, Ficho T W, Reid S E
Department of Medicine, Evanston Hospital/Northwestern University, Illinois.
Am J Gastroenterol. 1989 Oct;84(10):1310-2.
We report two patients with inflammatory bowel disease in whom intravenous corticotropin therapy was complicated by bilateral adrenal hemorrhage. In one, the initial presentation was acute and unilateral, simulating colonic perforation and/or abscess. The diagnosis was made only at exploratory laparotomy. In the second patient, the presentation was subacute; multiple episodes of adrenal hemorrhage occurred subsequent to the course of corticotropin, and ultimately, hypoadrenalinism developed. Pertinent clinical and computed tomographic findings are reviewed.
我们报告了两名炎症性肠病患者，他们在接受静脉注射促肾上腺皮质激素治疗时并发了双侧肾上腺出血。其中一名患者最初表现为急性且单侧，类似于结肠穿孔和/或脓肿。仅在剖腹探查时才做出诊断。第二名患者表现为亚急性；在促肾上腺皮质激素治疗过程中发生了多次肾上腺出血，最终发展为肾上腺功能减退。本文回顾了相关的临床和计算机断层扫描结果。
