A case of bilateral adrenal haemorrhage following traumatic brain injury

We report the case of a 57-year-old man who sustained an isolated severe traumatic brain injury (TBI). During his admission to the intensive care unit (ICU), he developed marked arterial hypotension of unclear cause. Eventually, the presence of renal angle tenderness on clinical examination and a lo...

Descripción completa

Detalles Bibliográficos
Autores principales: Leong, Mervyn, Pendyala, Madhav, Chaganti, Joga, Al-Soufi, Suhel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336128/
https://www.ncbi.nlm.nih.gov/pubmed/25705429
http://dx.doi.org/10.1186/s40560-015-0073-8
_version_ 1782358428399697920
author Leong, Mervyn
Pendyala, Madhav
Chaganti, Joga
Al-Soufi, Suhel
author_facet Leong, Mervyn
Pendyala, Madhav
Chaganti, Joga
Al-Soufi, Suhel
author_sort Leong, Mervyn
collection PubMed
description We report the case of a 57-year-old man who sustained an isolated severe traumatic brain injury (TBI). During his admission to the intensive care unit (ICU), he developed marked arterial hypotension of unclear cause. Eventually, the presence of renal angle tenderness on clinical examination and a low random-cortisol level lead to the suspicion of primary adrenal insufficiency. A computed tomography scan of his abdomen demonstrated new bilateral adrenal haemorrhages. This diagnosis is not unlikely to be missed, as symptoms and laboratory tests are often nonspecific.
format Online
Article
Text
id pubmed-4336128
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-43361282015-02-21 A case of bilateral adrenal haemorrhage following traumatic brain injury Leong, Mervyn Pendyala, Madhav Chaganti, Joga Al-Soufi, Suhel J Intensive Care Case Report We report the case of a 57-year-old man who sustained an isolated severe traumatic brain injury (TBI). During his admission to the intensive care unit (ICU), he developed marked arterial hypotension of unclear cause. Eventually, the presence of renal angle tenderness on clinical examination and a low random-cortisol level lead to the suspicion of primary adrenal insufficiency. A computed tomography scan of his abdomen demonstrated new bilateral adrenal haemorrhages. This diagnosis is not unlikely to be missed, as symptoms and laboratory tests are often nonspecific. BioMed Central 2015-02-03 /pmc/articles/PMC4336128/ /pubmed/25705429 http://dx.doi.org/10.1186/s40560-015-0073-8 Text en © Leong et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Leong, Mervyn
Pendyala, Madhav
Chaganti, Joga
Al-Soufi, Suhel
A case of bilateral adrenal haemorrhage following traumatic brain injury
title A case of bilateral adrenal haemorrhage following traumatic brain injury
title_full A case of bilateral adrenal haemorrhage following traumatic brain injury
title_fullStr A case of bilateral adrenal haemorrhage following traumatic brain injury
title_full_unstemmed A case of bilateral adrenal haemorrhage following traumatic brain injury
title_short A case of bilateral adrenal haemorrhage following traumatic brain injury
title_sort case of bilateral adrenal haemorrhage following traumatic brain injury
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336128/
https://www.ncbi.nlm.nih.gov/pubmed/25705429
http://dx.doi.org/10.1186/s40560-015-0073-8
work_keys_str_mv AT leongmervyn acaseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT pendyalamadhav acaseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT chagantijoga acaseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT alsoufisuhel acaseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT leongmervyn caseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT pendyalamadhav caseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT chagantijoga caseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury
AT alsoufisuhel caseofbilateraladrenalhaemorrhagefollowingtraumaticbraininjury

Ejemplares similares