Addison's Disease Research Today is a free monthly online journal that collates and summarizes the latest research about Addison's Disease, including details on chronic adrenal insufficiency, treatment, causes, medication.

Adrenal insufficiency after laparoscopic hysterectomy in a patient with primary antiphospholipid syndrome.

Dierking E, Gogoi R, Adamcik S, Greene LW, Curtin JP

Department of Obstetrics and Gynecology, New York University, New York, New York 10016, USA.

BACKGROUND: We report a case of bilateral adrenal hemorrhage and subsequent adrenal insufficiency after a laparoscopic hysterectomy in a patient with anticardiolipin antibody syndrome. CASE: A 55-year-old woman with a history of anticardiolipin antibody syndrome presented with nausea and vomiting 1 week after laparoscopic hysterectomy and staging for endometrial adenocarcinoma. Based on a diagnosis of adrenal insufficiency, the patient was started on oral hydrocortisone 20 mg in the morning and 10 mg in the afternoon, and fludrocortisone 0.05 mg twice daily on day 5. Her symptoms resolved completely within 24 hours of beginning steroids. CONCLUSION: The diagnosis of adrenal insufficiency should be entertained in any patient with a history of thrombophilias presenting with general abdominal complaints.

Published 1 February 2008 in Obstet Gynecol, 111(2): 495-8.
Full-text of this article is available online (may require subscription).

© 2005-2009 Addison's Disease Research Today. All Rights Reserved.