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ea0049ep124 | Clinical case reports - Pituitary/Adrenal | ECE2017

An unusual cause of unilateral adrenal haemorrhage

Jayaweera Jayamalee , Symington Emily , Clark John

A 24 year old man was admitted by the Surgeons with left sided abdominal pain. He was febrile and tachycardic and found to have raised inflammatory markers. Abdominal CT scan revealed a 6 cm left adrenal haemorrhage with no evidence of an underlying lesion. Initial endocrine investigations were unremarkable for Cushings, Conn’s and adrenal insufficiency. Norepinephrine levels were high but settled subsequently. He had a coagulopathy and evidence of reactivation of EB viru...