ACUTE ADRENAL INSUFFICIENCY RESULTING FROM ADRENAL HEMORRHAGE AS INDICATED BY POSTOPERATIVE HYPOTENSION

We examined the incidence, diagnosis and therapy of acute adrenal insufficiency, secondary to adrenal hemorrhage. This insufficiency resulted in temperature irregularities, hemodynamic instability, and a large volume resuscitation requirement post-operatively. The case illustrates that a high level of suspicion should be maintained in a clinical scenario that mimics sepsis or myocardial insufficiency in the intensive care unit.