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The objectives of this case report are to highlight the unusual presentation of metastatic lung adenocarcinoma as spontaneous adrenal hemorrhage in a 64-year-old female who was otherwise asymptomatic. As well as to support the reasoning that metastatic disease should be considered as a differential in patients with this clinical presentation as this may have altered this fatal outcome.<\/jats:p>","DOI":"10.1155\/2022\/2864773","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T22:50:14Z","timestamp":1666738214000},"page":"1-3","source":"Crossref","is-referenced-by-count":0,"title":["Acute Adrenal Hemorrhage as the Initial Manifestation of Metastatic Lung Adenocarcinoma: A Cautionary Tale"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7868-9037","authenticated-orcid":true,"given":"Sowbharnika","family":"Arivazhagan","sequence":"first","affiliation":[{"name":"Baton Rouge General Medical Center, 8585 Picardy Avenue, Baton Rouge 70809, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2651-6553","authenticated-orcid":true,"given":"Guru Prasad","family":"Parthiban","sequence":"additional","affiliation":[{"name":"Baton Rouge General Medical Center, 8585 Picardy Avenue, Baton Rouge 70809, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2577-2253","authenticated-orcid":true,"given":"Christina","family":"Patterson","sequence":"additional","affiliation":[{"name":"Baton Rouge General Medical Center, 8585 Picardy Avenue, Baton Rouge 70809, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1299-6303","authenticated-orcid":true,"given":"Karthik","family":"Reddy","sequence":"additional","affiliation":[{"name":"Baton Rouge General Medical Center, 8585 Picardy Avenue, Baton Rouge 70809, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.4065\/83.5.584"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/BF03344146"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1046\/j.0300-0664.2001.01435.x"},{"volume-title":"Adrenal hemorrhage","year":"2020","author":"K. 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