Acute Adrenal Insufficiency in the Perioperative Period: A Case Report. Issue 3 (1st February 2019)

• Record Type: Journal Article
• Authors: Karamchandani, Kunal; Leathem, Jarrett; Sinz, Elizabeth H.
• Is Part Of: A & A practice. Volume 12:Issue 3(2019)
• Publication Date: 2019-02-01
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000846
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Acute adrenal insufficiency is a rare but potentially life-threatening event during the perioperative period. The usual manifestations of an acute adrenal crisis can mimic common postoperative complications and a high index of suspicion is required for the diagnosis. Early diagnosis and prompt treatment can be lifesaving. We present the case of a 65-year-old man who, after a partial nephrectomy, developed acute adrenal insufficiency, which remained undiagnosed in the postoperative period, eventually leading to cardiac arrest. This case highlights the need for perioperative physicians to have a watchful eye for diagnosing and treating this uncommon yet lethal condition.