孕晚期胁腹痛作为诊断自发性肾上腺出血的线索。
Flank pain in the third trimester as a clue to diagnose spontaneous adrenal hemorrhage.
作者信息
Songtanin Busara, Welch Nicole, Nugent Kenneth, Patel Anupa
机构信息
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2022 May 6;35(5):707-708. doi: 10.1080/08998280.2022.2071076. eCollection 2022.
Flank pain in pregnancy is a serious complaint and may have several etiologies, such as pyelonephritis or trauma. Spontaneous adrenal hemorrhage is rare in pregnancy, but is life threatening. We report a third-trimester pregnant woman with idiopathic bilateral spontaneous adrenal hemorrhage who presented with acute-onset severe flank pain and developed adrenal insufficiency. Normal blood pressure following hemorrhagic infarction may obscure the underlying adrenal insufficiency.
孕期胁腹疼痛是一种严重的主诉，可能有多种病因，如肾盂肾炎或外伤。自发性肾上腺出血在孕期罕见，但可危及生命。我们报告一例孕晚期特发性双侧自发性肾上腺出血的孕妇，该孕妇表现为急性发作的严重胁腹疼痛，并出现肾上腺功能不全。出血性梗死之后的正常血压可能会掩盖潜在的肾上腺功能不全。
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