Cho Soo-Min, Bye Peter
Department of PET and Nuclear Medicine, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
BJR Case Rep. 2016 Dec 8;3(2):20160107. doi: 10.1259/bjrcr.20160107. eCollection 2017.
Adrenal haemorrhage is a rare condition that has the potential to cause life-threatening adrenal insufficiency, especially if it affects both the adrenal glands. The difficulty in diagnosing adrenal haemorrhages lies in the non-specific clinical presentation including hypotension and abdominal pain. The following case report demonstrates the possible clinical presentations of non-traumatic adrenal haemorrhages and the method of diagnosing and treating adrenal insufficiency. In a medical era where overdiagnosis and "incidentalomas" are becoming more prevalent, this case nicely demonstrates the fortunate use of imaging to detect a potentially life-threatening condition.
肾上腺出血是一种罕见病症,有可能导致危及生命的肾上腺功能不全,尤其是当双侧肾上腺均受影响时。肾上腺出血的诊断难点在于其临床表现缺乏特异性,包括低血压和腹痛。以下病例报告展示了非创伤性肾上腺出血可能的临床表现以及肾上腺功能不全的诊断和治疗方法。在一个过度诊断和“偶发瘤”日益普遍的医学时代,该病例很好地说明了利用影像学检查发现潜在危及生命疾病的幸运之处。