Adrenal hemorrhage is an under-recognized condition often found incidentally on imaging in acutely ill patients. Unilateral adrenal hemorrhage is usually clinically silent however bilateral adrenal hemorrhage can cause acute primary adrenal insufficiency which can be life threatening. This is a case of acute adrenal insufficiency secondary to bilateral adrenal hemorrhage.
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Davydov et al. (2024) studied this question.
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