{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:22:47Z","timestamp":1791616967035,"version":"4.3.4"},"reference-count":79,"publisher":"The Endocrine Society","issue":"4","license":[{"start":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adrenal hemorrhage is an uncommon, underrecognized condition that can be encountered in several clinical contexts. Diagnosing adrenal hemorrhage is challenging due to its nonspecific clinical features. Therefore, it remains a diagnosis that is made serendipitously on imaging of acutely unwell patients rather than with prospective clinical suspicion. Adrenal hemorrhage can follow abdominal trauma or appear on a background of predisposing conditions such as adrenal tumors, sepsis, or coagulopathy. Adrenal hemorrhage is also increasingly reported in patients with COVID-19 infection and in the context of vaccine-induced immune thrombocytopenia and thrombosis. Unexplained abdominal pain with hemodynamic instability in a patient with a predisposing condition should alert the physician to the possibility of adrenal hemorrhage. Bilateral adrenal hemorrhage can lead to adrenal insufficiency and potentially fatal adrenal crisis without timely recognition and treatment. In this article, we highlight the clinical circumstances that are associated with higher risk of adrenal hemorrhage, encouraging clinicians to prospectively consider the diagnosis, and we share a diagnostic and management strategy.<\/jats:p>","DOI":"10.1210\/clinem\/dgac672","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T03:29:15Z","timestamp":1669001355000},"page":"995-1006","source":"Crossref","is-referenced-by-count":48,"title":["Approach to the Patient With Adrenal Hemorrhage"],"prefix":"10.1210","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2735-6053","authenticated-orcid":false,"given":"Yasir S","family":"Elhassan","sequence":"first","affiliation":[{"name":"Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham , Birmingham B15 2TT , UK"},{"name":"Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners , Birmingham B15 2TT , UK"},{"name":"Department of Endocrinology, Queen Elizabeth Hospital Birmingham , Birmingham B15 2WB , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina L","family":"Ronchi","sequence":"additional","affiliation":[{"name":"Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham , Birmingham B15 2TT , UK"},{"name":"Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners , Birmingham B15 2TT , UK"},{"name":"Department of Endocrinology, Queen Elizabeth Hospital Birmingham , Birmingham B15 2WB , UK"},{"name":"Division of Endocrinology and Diabetes, University Hospital University W\u00fcrzburg , W\u00fcrzburg 97080 , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piyumi","family":"Wijewickrama","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, University College London Hospital NHS Foundation Trust , London NW1 2BU , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie E","family":"Baldeweg","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, University College London Hospital NHS Foundation Trust , London NW1 2BU , UK"},{"name":"Centre for Obesity and Metabolism, Department of Experimental and Translational Medicine, Division of Medicine, University College London , London WC1E 6BT , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"issue":"4","key":"2023031010320291400_","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1111\/j.0954-6820.1964.tb00590.x","article-title":"Adrenal hemorrhage and necrosis in the adult","volume":"175","author":"Botteri","year":"1964","journal-title":"Acta Med 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