Abstract
The broad differential diagnoses of causes of abdominal pain during pregnancy also include adrenal hemorrhage. Adrenal hemorrhage is an uncommon disorder, but it can have a fatal outcome during pregnancy for both, the mother and the fetus. Cortisol levels and an MRI or a CT scan can be used to diagnose it. If left undiagnosed and untreated, it can have a fatal outcome, including IUFD and maternal mortality. Here, we report a case of a 26-year-old female who was brought dead to our hospital. She had a history of IUFD with a subsequent induced delivery at another hospital 2 days back. Retained placental tissue further led to DIC and death in this patient. Autopsy findings revealed the presence of extensive areas of hemorrhage in both the adrenal glands.
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References
Mehmood KT, Sharman T. Adrenal Hemorrhage. [Updated 2020 Oct 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021.
Gupta A, Minhas R, Quant H. Spontaneous adrenal hemorrhage in pregnancy: a case series. Case reports. Obstet Gynecol. 2017;2017:1–3.
Street S, Dekker Nitert M, Callaway LK. Successful vaginal delivery following spontaneous adrenal haemorrhage at term. BMJ Case Rep. 2016;2016:bcr2016215096.
Bockorny B, Posteraro A, Bilgrami S. Bilateral spontaneous adrenal hemorrhage during pregnancy. Obstet Gynecol. 2012;120(2 part 1):377–81.
Kumar V, Abbas A, Aster J. Robbins and Cotran pathologic basis of disease. 10th ed. p. 669–71.
Kadhem S, Ebrahem R, Munguti C, Mortada R. Spontaneous unilateral adrenal hemorrhage in pregnancy. Cureus. 2017;9(1):e977.
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© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Sangoi, N.N., Jashnani, K.D., Patil, L.Y. (2022). Adrenal Hemorrhage: A Dark Horse in Maternal Mortality. In: Jashnani, K.D. (eds) Maternal Mortality - Lessons Learnt from Autopsy. Springer, Singapore. https://doi.org/10.1007/978-981-19-3420-9_23
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DOI: https://doi.org/10.1007/978-981-19-3420-9_23
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