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Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report
Bilateral adrenal hemorrhage (BAH) is a rare and potentially fatal complication following total hip arthroplasty and low-molecule heparin use for DVT-prophylaxis. We present a case of a 64-year-old woman who sustained a femoral neck fracture, which was addressed with hip hemiarthroplasty. Twelve day...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447475/ https://www.ncbi.nlm.nih.gov/pubmed/36106217 http://dx.doi.org/10.7759/cureus.27748 |
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author | Patousis, Athanasios Patousis, Panagiotis Barbakis, Georgios Sachinis, Nikolaos P |
author_facet | Patousis, Athanasios Patousis, Panagiotis Barbakis, Georgios Sachinis, Nikolaos P |
author_sort | Patousis, Athanasios |
collection | PubMed |
description | Bilateral adrenal hemorrhage (BAH) is a rare and potentially fatal complication following total hip arthroplasty and low-molecule heparin use for DVT-prophylaxis. We present a case of a 64-year-old woman who sustained a femoral neck fracture, which was addressed with hip hemiarthroplasty. Twelve days postoperatively DVT was diagnosed and therapeutic doses of low-molecule-heparin were administered. The next day, CTPA was done searching for pulmonary embolism but BAH was shown and a short synacthen test confirmed the diagnosis of adrenal insufficiency. A therapeutic protocol with hydrocortisone was followed. |
format | Online Article Text |
id | pubmed-9447475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-94474752022-09-13 Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report Patousis, Athanasios Patousis, Panagiotis Barbakis, Georgios Sachinis, Nikolaos P Cureus Endocrinology/Diabetes/Metabolism Bilateral adrenal hemorrhage (BAH) is a rare and potentially fatal complication following total hip arthroplasty and low-molecule heparin use for DVT-prophylaxis. We present a case of a 64-year-old woman who sustained a femoral neck fracture, which was addressed with hip hemiarthroplasty. Twelve days postoperatively DVT was diagnosed and therapeutic doses of low-molecule-heparin were administered. The next day, CTPA was done searching for pulmonary embolism but BAH was shown and a short synacthen test confirmed the diagnosis of adrenal insufficiency. A therapeutic protocol with hydrocortisone was followed. Cureus 2022-08-07 /pmc/articles/PMC9447475/ /pubmed/36106217 http://dx.doi.org/10.7759/cureus.27748 Text en Copyright © 2022, Patousis et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Endocrinology/Diabetes/Metabolism Patousis, Athanasios Patousis, Panagiotis Barbakis, Georgios Sachinis, Nikolaos P Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title | Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title_full | Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title_fullStr | Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title_full_unstemmed | Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title_short | Bilateral Adrenal Hemorrhage Following Femoral Hip Hemiarthroplasty: A Case Report |
title_sort | bilateral adrenal hemorrhage following femoral hip hemiarthroplasty: a case report |
topic | Endocrinology/Diabetes/Metabolism |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447475/ https://www.ncbi.nlm.nih.gov/pubmed/36106217 http://dx.doi.org/10.7759/cureus.27748 |
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