What's the most likely diagnosis?
- 59 year-old male with change in bowel habits
- Carcinoma of the colon
- Bilateral renal calculi
- Cirrhosis
- Myelolipomas
- Bilateral adrenal calcifications
Answer:
5. Bilateral Adrenal Calcifications
More (Click Discussion Tab)
Adrenal calcifications
General Considerations
- Hemorrhage is the most common cause
- Generally, patients with non-traumatic adrenal hemorrhage are critically ill and have a coagulopathy
- Adrenal glands are proportionately larger in neonates than adults and prone to complications from hypoxia or hypotension
- Unilateral 80% of time and involves right side 85% of time
- Unilateral adrenal hemorrhage rarely produces clinical findings
- In adults, it is frequently found incidentally in trauma
- Most (90%) of adrenal tissue must be destroyed for adrenal insufficiency
- Adrenal hemorrhage is prognostically important because it may signify severe stress or unsuspected coagulopathy
More ...