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Spontaneous Adrenal Hemorrhage in Pregnancy
Marvi Memon1, Donald Wilson1, Isioma Okolo1
1Department of Obstetrics and Gynaecology, Forth Valley Royal Hospital, Labret FK5 4WR, Scotland, UK.
Journal of Clinical Gynecology and Obstetrics
|January 12, 2026
Summary
Spontaneous adrenal hemorrhage (SAH) during pregnancy is rare but serious. This case highlights MRI
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Radiology
Background:
- Spontaneous adrenal hemorrhage (SAH) is a rare condition.
- SAH can lead to adrenal insufficiency or crisis.
- Abdominal pain in pregnancy has a wide differential diagnosis.
Purpose of the Study:
- To present a case of SAH during pregnancy.
- To discuss diagnostic and management strategies.
- To emphasize the importance of considering SAH in pregnant patients with flank pain.
Main Methods:
- Case report of a 32-year-old pregnant woman at 33 weeks gestation.
- Initial abdominal ultrasound was unremarkable.
- Diagnosis confirmed by abdominal magnetic resonance imaging (MRI).
Main Results:
- Patient presented with right-sided flank pain.
- Management included analgesia and serial hemoglobin assessments.
- Resulted in an uncomplicated vaginal delivery.
Conclusions:
- SAH is a critical consideration for abdominal/flank pain in pregnancy.
- Management ranges from conservative to surgical, based on patient stability.
- A multidisciplinary team approach is crucial for optimal care.
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