[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460437-105":59,"doc-detail-460437-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","spontaneous-adrenal-hemorrhage-in-pregnancy-case-report","Spontaneous Adrenal Hemorrhage in Pregnancy - Case report","","Spontaneous adrenal hemorrhage (SAH) is a rare pregnancy-associated condition that can progress to life-threatening adrenal insufficiency or adrenal crisis when not managed promptly. Abdominal pain in pregnancy has a broad differential diagnosis, and SAH is often difficult to recognize. The report describes a 32-year-old multiparous woman presenting at 33 weeks with right flank pain; ultrasound was unremarkable, while MRI confirmed SAH. Management included analgesia, serial hemoglobin monitoring, and clinical assessment, resulting in uncomplicated vaginal delivery and planned follow-up.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/spontaneous-adrenal-hemorrhage-in-pregnancy-case-report/460437/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/spontaneous-adrenal-hemorrhage-in-pregnancy-case-report/460437.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is spontaneous adrenal hemorrhage during pregnancy, and why is it important?","Question",{"text":113,"@type":114},"SAH refers to acute adrenal gland bleeding without prior trauma or anticoagulation and may cause life-threatening adrenal insufficiency or adrenal crisis. It is important because pregnancy-related abdominal or flank pain can have a wide differential diagnosis, making timely recognition challenging.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How was the diagnosis confirmed in this case report?",{"text":118,"@type":114},"The initial abdominal ultrasound was unremarkable, and the diagnosis of SAH was made using magnetic resonance imaging (MRI) of the abdomen.",{"name":120,"@type":111,"acceptedAnswer":121},"What management approach was used, and what was the delivery outcome?",{"text":122,"@type":114},"Management included analgesia, serial hemoglobin assessments, and clinical examination. This approach led to an uncomplicated vaginal delivery, followed by endocrinology follow-up and planned repeat MRI at 3 months.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},460437,1790814471,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Author Manuscript Author Manuscript Author Manuscript Author Manuscript  \n\n| | HHS Public Access\u003Cbr>Author manuscript\u003Cbr>J Clin Gynecol Obstet. Author manuscript; available in PMC 2026 January 10. |\n| --- | --- |\n\nPublished in final edited form as:  \nJ Clin Gynecol Obstet. 2025 December ; 14(4): 189–194. doi:10.14740/jcgo1538 .  \nSpontaneous Adrenal Hemorrhage in Pregnancy  \nMarvi Memona,c, Donald Wilsona, Isioma Okoloa, Amy Wangb  \na Department of Obstetrics and Gynaecology, Forth Valley Royal Hospital, Labret FK5 4WR, Scotland, UK  \nb Department of Radiology, Forth Valley Royal Hospital, Larbert FK5 4WR, Scotland, UK  \nAbstract  \nSpontaneous adrenal hemorrhage (SAH) is a rare condition that may lead to life-threatening adrenal insufficiency or adrenal crisis if not addressed appropriately. Abdominal pain during pregnancy has a broad differential diagnosis, which includes SAH. There are very few studies on the precipitating factors, management, and optimal mode of delivery. We present a 32-year-old multiparous woman who presented at 33 weeks of gestation with right-sided flank pain. The initial ultrasound of the abdomen was unremarkable. The diagnosis of SAH was made by magnetic resonance imaging (MRI) of the abdomen, and the patient management included analgesia, serial hemoglobin assessments, and clinical examination which resulted in uncomplicated vaginal delivery. She was followed up with endocrinology at 3 months with plan for repeat MRI of the abdomen. SAH, although rare, is an important consideration when evaluating abdominal and flank pain during pregnancy. It is a challenging diagnostic and therapeutic condition. The management options vary from conservative management to surgical intervention depending on the stability of the patient. A multidisciplinary team (MDT) approach is a very crucial aspect of diagnosis and management of this rare condition.  \nKeywords  \nAdrenal hemorrhage; Adrenal crisis; Life-threatening; Diagnosis; Challenging  \nThis article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited cCorresponding Author: Marvi Memon, Department of Obstetrics and Gynaecology, Forth Valley Royal Hospital, Larbert FK5 4WR, Scotland, [UK. drdadu_mmm@hotmail.com](UK. drdadu_mmm@hotmail.com).  \nAuthor Contributions  \nAll authors offered intellectual insight, aided in the drafting, editing, and critical review of this work, and gave final approval for submission after proper analysis of data, facts, and figures. Marvi Memon (corresponding and first author) was involved in direct patient care, data collection, consent taking, literature search, and writing manuscript. Isioma Okolo (consultant) was involved inpatient care, consent taking, and data collection. Donald Wilson helped in writing manuscript, analysis of data, proofreading of manuscript, editing, and formatting. Amy Wang helped in selecting MRI images, highlighting diseased real in images and reporting images.  \nConflict of Interest  \nNo potential conflict of interest was reported by the authors.  \nInformed Consent  \nA written informed consent was obtained from the patient to use her anonymized clinical information for the purpose of this reporting. Informed consent was taken from all other medical staff involved in care of this patient.  \nFinancial Disclosure  \nThe authors or the institution responsible for this case report did not at any time receive payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work.  \nAuthor Manuscript Author Manuscript Author Manuscript Author Manuscript  \nMemon et al. Page 2  \nIntroduction  \nSpontaneous adrenal hemorrhage (SAH) is defined as acute hemorrhage of the adrenal gland, without any prior trauma or history of anticoagulation and occurring without any predispositi","cbCaih7ZR0W8yG5O","https://ap.wps.com/l/cbCaih7ZR0W8yG5O","pdf",655479,"English","# Abstract\n# Keywords\n# Introduction\n# Case Report\n## Investigations","[{\"question\":\"What is spontaneous adrenal hemorrhage during pregnancy, and why is it important?\",\"answer\":\"SAH refers to acute adrenal gland bleeding without prior trauma or anticoagulation and may cause life-threatening adrenal insufficiency or adrenal crisis. It is important because pregnancy-related abdominal or flank pain can have a wide differential diagnosis, making timely recognition challenging.\"},{\"question\":\"How was the diagnosis confirmed in this case report?\",\"answer\":\"The initial abdominal ultrasound was unremarkable, and the diagnosis of SAH was made using magnetic resonance imaging (MRI) of the abdomen.\"},{\"question\":\"What management approach was used, and what was the delivery outcome?\",\"answer\":\"Management included analgesia, serial hemoglobin assessments, and clinical examination. This approach led to an uncomplicated vaginal delivery, followed by endocrinology follow-up and planned repeat MRI at 3 months.\"}]","Spontaneous Adrenal Hemorrhage in Pregnancy - Case report | PDF",1790758464,25]