PDF(Pubmed)
Abstract：
Spontaneous adrenal haemorrhage (SAH) is a rare condition. The incidence of adrenal haemorrhage in pregnancy is currently not known; however, an association with pregnancy has been reported.An acute presentation with severe back or flank pain should raise suspicion of this condition. Diagnosis is based on imaging. An ultrasound scan is a basic and readily available investigation in pregnancy to rule out renal and suprarenal pathology while CT or MRI scan can help to confirm the diagnosis. A multidisciplinary team (MDT) approach, involving the obstetric, anaesthetic, medical and endocrine team, is essential in management of this condition.We present a case of an SAH; managed conservatively, in an otherwise healthy and low-risk pregnant woman and describe the literature review on this rare condition, including pathophysiology and management.
摘要：
自发性肾上腺出血（SAH）是一种罕见的疾病。目前尚不清楚妊娠期肾上腺出血的发生率；据报道与怀孕有关。严重的背部或侧腹疼痛的急性表现应引起对这种情况的怀疑。诊断基于影像学。超声扫描是怀孕期间的基本且容易获得的检查，以排除肾脏和肾上腺病理学，而CT或MRI扫描可以帮助确认诊断。多学科团队(MDT)方法，涉及产科，麻醉,医疗和内分泌团队，在这种情况的管理中至关重要。我们提出了一个SAH的案例；保守地管理，在一个健康和低风险的孕妇中，并描述了关于这种罕见情况的文献综述，包括病理生理学和管理。
