What question did this study set out to answer?

To raise awareness of hemorrhagic adrenal infarction as a rare cause of acute flank pain and emphasize the need for careful imaging evaluation.

July 10, 2026CureusOpen Access

An Atypical Finding in a Patient With Acute Left Flank Pain

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Case report reveals hemorrhagic adrenal infarction causing acute flank pain, highlighting imaging pitfalls for accurate diagnosis.

To raise awareness of hemorrhagic adrenal infarction as a rare cause of acute flank pain and emphasize the need for careful imaging evaluation.
Case report of a 29-year-old female with acute left flank pain and initial normal CT scan results.
Retrospective review revealed subtle adrenal gland enlargement and follow-up imaging confirmed diagnosis of hemorrhagic adrenal infarction.
Laboratory evaluations including hypothyroidism and thrombophilia testing were conducted.
Initial CT was read as normal but later imaging showed marked adrenal enlargement and other signs of infarction.
MRI findings supported the diagnosis with heterogeneous signal intensity and lack of post-contrast enhancement.
Patient managed conservatively without anticoagulation, leading to favorable clinical outcomes.

Rhallab et al. (2026) studied this question.

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July 10, 2026CureusOpen Access

View Full Paper

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Authors

Case report reveals hemorrhagic adrenal infarction causing acute flank pain, highlighting imaging pitfalls for accurate diagnosis.

To raise awareness of hemorrhagic adrenal infarction as a rare cause of acute flank pain and emphasize the need for careful imaging evaluation.
Case report of a 29-year-old female with acute left flank pain and initial normal CT scan results.
Retrospective review revealed subtle adrenal gland enlargement and follow-up imaging confirmed diagnosis of hemorrhagic adrenal infarction.
Laboratory evaluations including hypothyroidism and thrombophilia testing were conducted.
Initial CT was read as normal but later imaging showed marked adrenal enlargement and other signs of infarction.
MRI findings supported the diagnosis with heterogeneous signal intensity and lack of post-contrast enhancement.
Patient managed conservatively without anticoagulation, leading to favorable clinical outcomes.

Rhallab et al. (2026) studied this question.

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