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Acute spontaneous non-hemorrhagic adrenal infarction in pregnancy: case-report and literature review.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 8807913 Publication Model: Print Cited Medium: Internet ISSN: 1473-0766 (Electronic) Linking ISSN: 09513590 NLM ISO Abbreviation: Gynecol Endocrinol Subsets: MEDLINE
    • بيانات النشر:
      Publication: London : Informa Healthcare
      Original Publication: [Carnforth, Lancashire ; Park Ridge, N.J.] : Parthenon Pub., [c1987-
    • الموضوع:
      Abdomen, Acute*/diagnosis ; Abdomen, Acute*/etiology ; Adrenal Gland Diseases*/diagnosis; Pregnancy ; Female ; Humans ; Pregnancy Trimester, Third ; Infarction/diagnostic imaging ; Infarction/etiology
    • نبذة مختصرة :
      Unilateral non-hemorrhagic adrenal infarction (NHAI) is a very uncommon cause of acute abdomen in pregnancy. Diagnosis is highly challenging due to its rarity, heterogeneity of clinical presentation, and inconclusiveness of the initial workup. Timely recognition is pivotal to ensuring optimal outcomes. Here we describe a case of spontaneous unilateral NHAI diagnosed in a singleton pregnant woman at 32 weeks' gestation at our centre and provide the findings of an extensive literature review on the topic. We identified 22 articles describing 31 NHAI cases in 30 obstetric patients: NHAI occurs more frequently on the right side and in the third trimester, and diagnosis is formulated more than 24 h after clinical presentation in 50% of cases; second-level imaging is always necessary to reach a definitive diagnosis and start appropriate treatment. A high degree of clinical suspicion is needed to promptly recognize NHAI in pregnancy, thus allowing appropriate multidisciplinary management and timely treatment initiation. Promotion of knowledge and awareness of NHAI as a potential cause of acute abdomen in pregnancy is mandatory to improve clinical practice and, ultimately, perinatal outcomes.
    • Contributed Indexing:
      Keywords: Adrenal; abdomen; acute; infarction; pain; pregnancy; thrombosis
    • الموضوع:
      Date Created: 20230724 Date Completed: 20230725 Latest Revision: 20230725
    • الموضوع:
      20240628
    • الرقم المعرف:
      10.1080/09513590.2023.2234492
    • الرقم المعرف:
      37486308