Adrenal Insufficiency Due to Bilateral Adrenal Hemorrhage Following Coronary Bypass Surgery: Case Report

Adrenal hemorrhage leading to adrenal insufficiency is a lethal and uncommon condition usually diagnosed at autopsy. Symptoms are usually non-specific and easily confused with other conditions like sepsis. Hypotension, lethargy, and fever can be the presenting signs. Here in, we presented a 51-year-old man admitted with nausea, vomiting, dizziness and somnolence following coronary bypass grafting. In sight of clinical and biochemical findings, short ACTH test was done and adrenal insufficiency was shown. The patient recovered completely with the introduction of cortisol replacement therapy. This case illustrates coronary bypass grafting and intra-operative hypotension may cause adrenocortical hemorrhage which may induce adrenocortical insufficiency. Pertinent literature was rewieved.