# Bilateral Adrenal Hemorrhage in Pregnancy: A Clinical Report of a Rare Case

## TL;DR

A rare case of spontaneous adrenal bleeding in a pregnant woman is reported, highlighting the need for quick diagnosis and teamwork.

## Contribution

This paper presents a rare clinical case of bilateral adrenal hemorrhage in a pregnant patient.

## Key findings

- Bilateral adrenal hemorrhage was diagnosed in a 19-year-old pregnant woman at 38 weeks gestation.
- Blood transfusion and steroid therapy were critical in stabilizing the patient's condition.
- The case emphasizes the importance of considering adrenal insufficiency in differential diagnosis during pregnancy.

## Abstract

Adrenal hemorrhage in pregnancy, particularly of spontaneous origin, is an exceedingly rare phenomenon. We present the case of a 19-year-old primigravida, at 38 weeks gestation, afflicted by bilateral spontaneous adrenal hemorrhage. Initial presentation with severe abdominal pain posed diagnostic conundrums, necessitating a meticulous and multidisciplinary approach. Radiological evaluations revealed bilateral adrenal gland thickening, raising the suspicion of adrenal hemorrhage. The ensuing management included blood transfusion and steroid therapy, pivotal in stabilizing the patient's precarious clinical state. This case underscores the imperative of interdisciplinary collaboration and expeditious interventions in navigating medical complications during pregnancy as well as the importance of keeping in mind differential diagnoses such as adrenal insufficiency.