PMID: 1211987Aug 1, 1975Paper

Postoperative adrenal hemorrhage

Annals of Surgery
O H Clark

Abstract

Twelve elderly patients without Waterhouse-Friderichsen syndrome or adrenal tumor who had spontaneous adrenal hemorrhage one to 33 days after operation are described. Seven of these patients had operations on the gastrointestinal tract, one on the biliary system, two on the genitourinary system and two on the central nervous system. Important factors relating to adrenal hemorrhage included: intra-abdominal sepsis in 5 patients, cancer in 4, pneumonia in 4, coagulation defects in 2, exogenous steroids in 2, and syphilis in one patient. Spontaneous adrenal hemorrhage should be considered in patients whose condition deteriorates rapidly after operation and in whom no other explanation is plausible. Its detection and appropriate therapy can be lifesaving.

References

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Citations

Jan 1, 1985·International Urology and Nephrology·R BohusM Gonder
Jun 1, 1987·Postgraduate Medical Journal·R KhardoriN G Soler
Aug 1, 1992·The Annals of Thoracic Surgery·W TingA J Spotnitz
Apr 1, 1989·The American Journal of Medicine·P M Fitzpatrick, S J Swensen
Aug 1, 1988·Urology·R FriedrichsH Rübben
Oct 1, 1994·The Journal of Arthroplasty·M D RiesF Lynch
Jul 1, 1992·Urology·A H YamadaD G Skinner
Jan 1, 1990·American Heart Journal·A Alfieri, M N Kotler
Oct 3, 2014·Endocrinology, Diabetes & Metabolism Case Reports·Durgesh GowdaKunwarjit Sangla
Jul 1, 1983·The British Journal of Surgery·E M Thompson, P W Skinner
May 1, 1979·Canadian Anaesthetists' Society Journal·H IshiharaT Oyama
Feb 1, 1986·The Journal of Urology·S A JacobsonB Lytton
Dec 1, 1981·American Journal of Hematology·K C AndersonW R Bell
Apr 1, 1980·The Journal of Urology·D L SwiftW C Baum
Mar 1, 1986·The Journal of Urology·J L MohlerJ W McRoberts
Aug 7, 1995·The Medical Journal of Australia·M Patel, D Hardman
Nov 10, 2001·The Medical Journal of Australia·J R Greenfield, D J Chisholm
Aug 1, 1990·Current Problems in Surgery·D H Wisner, J W Holcroft

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