Bilateral Adrenal Hemorrhage in a Patient With Antiphospholipid Syndrome

摘要

A 33-year-old man presented with bilateral flank pain associated with nausea and vomiting 10 days after having undergone an uncomplicated laparoscopic cholecystectomy. He denied having had fever, chills, hematuria, or dysuria. History. In the last 2 years, he had had multiple emergency department visits for episodic abdominal pain. He had developed left iliac vein thrombosis resulting in stent placement 5 years prior at another facility and had received a diagnosis of antiphospholipid syndrome (APLS). He had been lost to follow-up and had prematurely discontinued anticoagulation. Physical examination. His abdomen was soft, with mild diffuse tenderness. No physical examination findings were suggestive of appendicitis or pyelonephritis. His vital signs were as follows: temperature, 37.6°C; heart rate, 83 beats/min; respiratory rate, 18 breaths/min; and blood pressure, 114/75 mm Hg.