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Postoperative adrenal hemorrhage.

O H Clark

    Annals of Surgery
    |August 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Spontaneous adrenal hemorrhage can occur in elderly patients post-operation, especially with underlying conditions like sepsis or cancer. Early detection and treatment of this adrenal complication are crucial for survival.

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    Area of Science:

    • Medicine
    • Surgery
    • Endocrinology

    Background:

    • Spontaneous adrenal hemorrhage is a rare but serious complication.
    • It can occur post-operatively in elderly patients without pre-existing adrenal conditions.

    Observation:

    • Twelve elderly patients developed spontaneous adrenal hemorrhage 1-33 days after various surgeries.
    • Commonly associated factors included intra-abdominal sepsis, cancer, pneumonia, coagulation defects, steroid use, and syphilis.

    Findings:

    • Adrenal hemorrhage occurred after gastrointestinal, biliary, genitourinary, and central nervous system operations.
    • The condition presents as rapid deterioration in patients with no other clear cause.

    Implications:

    • Consider adrenal hemorrhage in post-operative patients with unexplained rapid decline.
  • Timely diagnosis and intervention for adrenal hemorrhage can be life-saving.