A large incidental adrenal mass in a patient with sudden onset multiple organ failure
Journal Title: National Journal of Integrated Research in Medicine - Year 2012, Vol 3, Issue 4
Abstract
A 55-year-old female was brought to the emergency room for sudden-onset chest pain and shortness of breath. Her only past medical history was mild hypertension not requiring medications. She had no family history of coronary artery disease. In the emergency room, she was in acute distress; her blood pressure was 153/121 mmHg, heart rate 151 beats/minute, respiratory rate 33 times/minute, and oxygen saturation 81% while on a non-rebreather mask. Chest X-ray showed diffuse basal consolidation (Figure 1A). Electrocardiogram revealed sinus tachycardia and nonspecific T wave abnormalities. Arterial pH was 7.14, lactate 70 mg/dL (normal 5-25), and the first troponin negative. She was promptly intubated and admitted to the intensive care unit. She became oliguric after the admission. Due to the suspicion of aortic dissection, chest CT was performed, which demonstrated extensive bilateral airspace edema (Figure 1B) without evidence of acute aortic syndrome or pulmonary embolism, and an incidental right adrenal mass.
Authors and Affiliations
Run Yu
Keywords
Related Articles
- EP ID EP40231
- DOI 10.5455/im.38951
- Views 358
- Downloads 0
Bacterial Diversity in Patients with Oral Ulceration in Behcet's Disease
Background: Behcet's disease is a chronic, relapsing, multi-system inflammatory disorder, clinically characterized by recurrent oral and genital ulcers, skin lesions, and uveitis. Environmental factors such as infectio...
Assessment of Autonomic Functions in Hypothyroidism
Disturbances in autonomic functions have been observed in many diseases including hormonal disorder (Banisters 1983). Present study was undertaken to study the autonomic functions in thyroid hormones on in 60 untreated...
Pancreaticoduodenectomy With Left Lateral Hepatic Segmentectomy : A Rare Procedure For The Management Of Complex Pancreaticoduodenal And Liver Injuries In Blunt Abdominal Trauma
Context : Pancreaticoduodenal complex injuries are uncommon after blunt abdominal trauma and are difficult to diagnose. Case Report : We report a case of 25 years old male who suffered massive Pancreaticoduodenal compl...
Comparative Study of Serum Magnesium Among Hypertensive, Normotensive And Hypotensive Adults
The possible role of magnesium ions (Mg++) in the pathogenesis of essential hypertension has recently received increasing attention although magnesium has been neglected trace element till now despite its important rol...
Prevalence of Intestinal Parasites among School Going Children In Bareilly District
This study was conducted to find out the burden of intestinal parasitic infection among school going children in Bareilly District Uttar Pradesh India. A total of 320 stool samples were collected and screened from 4 sc...