# An Unusual Suspect: Right Hypochondrium Pain in the Third Trimester of Pregnancy

## TL;DR

This paper discusses a rare case of right hypochondrium pain in a pregnant woman caused by adrenal vein thrombosis.

## Contribution

It highlights the importance of considering adrenal vein thrombosis in pregnant patients with unexplained unilateral adrenal enlargement.

## Key findings

- Adrenal vein thrombosis can present as unexplained unilateral adrenal enlargement in pregnancy.
- Early diagnosis and anticoagulant management can prevent adrenal insufficiency.

## Abstract

Teaching point: Adrenal vein thrombosis should be considered in pregnant patients presenting with unexplained unilateral adrenal enlargement, even when the thrombus itself is not visualized, as early diagnosis allows effective anticoagulant management and prevention of adrenal insufficiency.