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A CT pulmonary angiogram (CTPA) demonstrated acute bilateral pulmonary embolism and bilateral multifocal parenchymal ground glass change consistent with COVID-19 (SARS-CoV-2) infection. Right adrenal haemorrhage was suspected on the CTPA which was confirmed on triple-phase abdominal CT imaging. A short Synacthen test revealed normal adrenal function. He was treated initially with an intravenous heparin infusion, which was changed to apixaban with a planned outpatient review in 3 months\u2019 time. He made an uncomplicated recovery and was discharged. Follow-up imaging nearly 5 months later showed near complete resolution of the right adrenal haemorrhage with no CT evidence of an underlying adrenal lesion.<\/jats:p>","DOI":"10.1136\/bcr-2020-239643","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T15:46:52Z","timestamp":1606751212000},"page":"e239643","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Adrenal haemorrhage as a complication of COVID-19 infection"],"prefix":"10.1136","volume":"13","author":[{"given":"Noor","family":"Sharrack","sequence":"first","affiliation":[{"name":"Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, West Yorkshire, UK"},{"name":"Department of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust Cardiothoracic Centre, Sheffield, South Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conal Thomas","family":"Baxter","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, Derbyshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Paddock","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, UK"},{"name":"Department of Oncology and Metabolism, The University of Sheffield Academic Unit of Child Health, Sheffield, South Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Uchegbu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolic Medicine, Barnsley Hospital NHS Foundation Trust, Barnsley, South Yorkshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"2025082701374999000_13.11.e239643.1","doi-asserted-by":"crossref","first-page":"rjy129","DOI":"10.1093\/jscr\/rjy129","article-title":"Spontaneous adrenal hemorrhage. report of two cases and review of pathogenesis, diagnosis and management","volume":"2018","author":"Charalampakis","year":"2018","journal-title":"J Surg Case Rep"},{"key":"2025082701374999000_13.11.e239643.2","doi-asserted-by":"publisher","DOI":"10.4065\/76.2.161"},{"key":"2025082701374999000_13.11.e239643.3","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1097\/00007611-198508000-00025","article-title":"Unilateral adrenal hemorrhage: an unusual presentation","volume":"78","author":"Moore","year":"1985","journal-title":"South Med J"},{"key":"2025082701374999000_13.11.e239643.4","first-page":"233","article-title":"Spontaneous adrenal hemorrhage in pregnancy. 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