A Case Report of Spontaneous Unilateral Adrenal Hemorrhage in the Third Trimester of Pregnancy

This case report describes a 33-year-old woman who developed spontaneous adrenal hemorrhage during the third trimester of pregnancy. She presented with left upper quadrant abdominal pain, which was described as pleuritic in nature, with shortness of breath. She also described nausea and had been sick a couple of times before she came to the hospital. However, she has remained hemodynamically stable. There were no signs of adrenal insufficiency. Adrenal hemorrhage was incidentally noted as she underwent investigation for suspected pulmonary embolism. Following the diagnosis of adrenal hemorrhage, she was managed conservatively under the joint care of physicians and the endocrinology team. A review of previous literature on adrenal hemorrhage in pregnancy was also included.