A large incidental adrenal mass in a patient with sudden onset multiple organ failure

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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

large incidental adrenal mass

EP ID EP40231
DOI 10.5455/im.38951
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