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Updated: Jun 11, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Adrenocortical insufficiency and abdominal pain]
A-L Saint-Pol1, T Morvan, P Maurette
1Hôpital Pellegrin, Bordeaux, France.
Abstract:
The adrenocortical insufficiency may mimic an acute surgical abdomen. We report the case of 20-year-old patient, who presented abdominal pain syndrome, associated with isolated moderate hyponatremia (135 mmol/l). The first diagnostic given is an appendicular syndrome, and she underwent surgery. Given the persistence of abdominal pain syndrome and hyponatremia (133 mmol/l), adrenocortical insufficiency was sought. The follow-ups were simple after the introduction of replacement therapy.
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