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Nonhemorrhagic Adrenal Infarction With Magnetic Resonance Imaging Features During Pregnancy

Guenette, Jeffrey P. MD; Tatli, Servet MD

doi: 10.1097/AOG.0000000000000884
Contents: Case Report
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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.

Adrenal infarction may be an underdiagnosed cause of severe abdominal pain during pregnancy and can be diagnosed with magnetic resonance imaging.

Brigham & Women's Hospital, Department of Radiology, Harvard Medical School, Boston, Massachusetts.

Corresponding author: Jeffrey P. Guenette, MD, Brigham & Women's Hospital, Department of Radiology, Harvard Medical School, Boston, MA 02115; e-mail: jguenette@partners.org.

Financial Disclosure The authors did not report any potential conflicts of interest.

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.