ADRENAL HAEMORRHAGE

ADRENAL HAEMORRHAGE

Definition Adrenal haemorrhage is a serious condition that can result in adrenal insu ffi ciency , shock, acute adrenal crisis and mortality if not managed with adequate treatment. The adrenal glands are, per weight of tissue, one of the most vascular tissues in the body . A number of factors predispose to haemorrhage, includ - ing infection (sepsis), myocardial infarction, anticoagulants, trauma, surgery and antiphospholipid syndrome. Clinical presentation can vary from non-specific abdominal pain to adrenal insu ffi ciency or hypovolaemic shock. Investigation CT scanning is the most common way to diagnose the condi - tion ( Figure 57.9a ). - Management Most adrenal bleeds are successfully managed conservatively . Anticoagulation therapy should be stopped temporarily . Rarely , interventional radiology may be necessary to staunch the bleed ( Figure 57.9b ). In cases of bilateral haemorrhage, the possibility of adrenal insu ffi ciency should be considered. - -