Nonhemorrhagic Adrenal Infarction With Magnetic Resonance Imaging Features During Pregnancy

Obstet Gynecol. 2015 Oct;126(4):775-778. doi: 10.1097/AOG.0000000000000884.

Abstract

Background: Adrenal infarction is an infrequent cause of severe abdominal pain during pregnancy. The magnetic resonance imaging (MRI) features of adrenal infarction have not previously been thoroughly described.

Cases: A 20-year-old woman, gravida 1 para 0, presented at 27 4/7 weeks of gestation with sudden-onset right upper quadrant and flank pain. A 29-year-old woman, gravida 2 para 1, presented at 17 5/7 weeks of gestation with sudden-onset right abdominal and flank pain and again at 35 5/7 weeks of gestation with sudden-onset severe left flank and upper quadrant pain. In both patients, unilateral adrenal infarction was diagnosed on contrast-enhanced computed tomography after initial nondiagnostic ultrasonography and MRI. Clinical presentation and MRI features of nonhemorrhagic adrenal infarction are described.

Conclusion: Nonhemorrhagic adrenal infarction may be an underdiagnosed cause of acute abdominal pain during pregnancy and can be diagnosed with MRI.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Adrenal Glands / blood supply*
  • Adult
  • Female
  • Humans
  • Infarction / complications
  • Infarction / diagnosis*
  • Magnetic Resonance Imaging
  • Pregnancy
  • Pregnancy Complications / diagnosis*
  • Young Adult