Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain

ABSTRACT Acute non‐hemorrhagic adrenal infarction (ANHAI), though rare, should be taken into account in the differential diagnosis of patients presenting with unexplained abdominal pain, especially those with underlying hypercoagulable conditions or risk factors for thrombosis. Timely recognition an...

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Published in:Clinical Case Reports
Main Authors: Parvaneh Layegh, Atiyeh Mahdavi Rafie, Armin Doostparast
Format: Article
Language:English
Published: Wiley 2025-10-01
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70917
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author Parvaneh Layegh
Atiyeh Mahdavi Rafie
Armin Doostparast
author_facet Parvaneh Layegh
Atiyeh Mahdavi Rafie
Armin Doostparast
author_sort Parvaneh Layegh
collection DOAJ
container_title Clinical Case Reports
description ABSTRACT Acute non‐hemorrhagic adrenal infarction (ANHAI), though rare, should be taken into account in the differential diagnosis of patients presenting with unexplained abdominal pain, especially those with underlying hypercoagulable conditions or risk factors for thrombosis. Timely recognition and diagnosis are paramount to prevent complications, including adrenal insufficiency. Imaging plays a crucial role in diagnosing ANHAI, with CT scans typically showing an enlarged, hypo‐attenuated adrenal gland and the presence of the capsular sign offering valuable diagnostic clues. Here, we present a middle‐aged diabetic woman who presented with severe left flank pain, nausea, and vomiting and was finally diagnosed with ANHAI.
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spelling doaj-a5ddd6ba50f543f899c0cb7ffe7d70fb2025-11-03T04:12:51ZengWileyClinical Case Reports2050-09042025-10-011310n/an/a10.1002/ccr3.70917Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal PainParvaneh Layegh0Atiyeh Mahdavi Rafie1Armin Doostparast2Department of Radiology, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranDepartment of Radiology, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranStudent Research Committee, Faculty of Medicine Mashhad University of Medical Sciences Mashhad IranABSTRACT Acute non‐hemorrhagic adrenal infarction (ANHAI), though rare, should be taken into account in the differential diagnosis of patients presenting with unexplained abdominal pain, especially those with underlying hypercoagulable conditions or risk factors for thrombosis. Timely recognition and diagnosis are paramount to prevent complications, including adrenal insufficiency. Imaging plays a crucial role in diagnosing ANHAI, with CT scans typically showing an enlarged, hypo‐attenuated adrenal gland and the presence of the capsular sign offering valuable diagnostic clues. Here, we present a middle‐aged diabetic woman who presented with severe left flank pain, nausea, and vomiting and was finally diagnosed with ANHAI.https://doi.org/10.1002/ccr3.70917acute abdominal painacute non‐hemorrhagic adrenal infarctionadrenal insufficiencyadrenal vein thrombosisANHAI
spellingShingle Parvaneh Layegh
Atiyeh Mahdavi Rafie
Armin Doostparast
Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
acute abdominal pain
acute non‐hemorrhagic adrenal infarction
adrenal insufficiency
adrenal vein thrombosis
ANHAI
title Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
title_full Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
title_fullStr Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
title_full_unstemmed Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
title_short Acute Non‐Hemorrhagic Adrenal Infarction in a Diabetic Patient: A Rare but Critical Consideration in Acute Abdominal Pain
title_sort acute non hemorrhagic adrenal infarction in a diabetic patient a rare but critical consideration in acute abdominal pain
topic acute abdominal pain
acute non‐hemorrhagic adrenal infarction
adrenal insufficiency
adrenal vein thrombosis
ANHAI
url https://doi.org/10.1002/ccr3.70917
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