Abstract
Unilateral adrenal ischemia by venous thrombosis during pregnancy is an extremely rare event. We report the case of two women, in their third trimester who presented intense abdominal pain located on their right flank. Obstetric and clinical examination are normal, so as are the biological check-up and hepatic and renal imaging. The thoraco-abdominal CAT scan shows the right adrenal necrosis associated with the vein thrombosis. A C-section was decided to allow administration of appropriate treatment: analgesics and anticoagulants. Clinical evolution was rapidly favorable. Protein S deficiency was diagnosed in one of the patients. The follow-up CAT scan shows the vein re-permeabilisation and disappearing of necrosis signs.
Copyright © 2011 Elsevier Masson SAS. All rights reserved.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Abdominal Pain / diagnosis
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Abdominal Pain / drug therapy
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Abdominal Pain / surgery
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Adrenal Glands / blood supply*
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Adrenal Glands / drug effects
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Adrenal Glands / surgery
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Adult
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Analgesics / therapeutic use
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Anticoagulants / therapeutic use
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Cesarean Section
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Female
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Humans
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Ischemia / drug therapy
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Ischemia / etiology*
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Ischemia / surgery
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Pregnancy
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Pregnancy Complications, Hematologic / drug therapy
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Pregnancy Complications, Hematologic / physiopathology*
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Pregnancy Complications, Hematologic / surgery
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Pregnancy Trimester, Third
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Protein S Deficiency / diagnosis
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Tomography, X-Ray Computed
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Treatment Outcome
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Venous Thrombosis / complications*
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Venous Thrombosis / drug therapy
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Venous Thrombosis / surgery
Substances
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Analgesics
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Anticoagulants