Diagnosis of Bilateral Adrenocortical Hemorrhage by Computed Tomography

Excerpt

Adrenocortical hemorrhage has been diagnosed on the basis of the clinical presentation and response to steroids (1) or autopsy findings (2). Prompt recognition of the disease has been difficult because of its similarity to other disorders. We report the diagnosis of a bilateral adrenocortical hemorrhage by computed tomography (CT), followed by biochemical confirmation of the diagnosis.

A 63-year-old man was hospitalized because he had pain in the left inguinal region. His medical history included an extensive myocardial infarction. He had been taking sodium warfarin (Coumadin), 5 mg four times a week. On admission the patient was diagnosed as having an