Acute Transient Stress Induced Adrenal Hypertrophy and Adrenal Medullary Hyperactivity

  • Vikram G Arella Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK
  • Emily T Mudenha Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK
  • Andrew Okpe Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK
  • Devaka J Fernando Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK

Keywords

Adrenal gland hypertrophy, transient adrenal insufficiency, reversible adrenal dysfunction, transient adrenal medullary hyperactivity, Stress related hypertension

Abstract

Objectives: Adrenal gland hypertrophy can be related to acute stress with abnormal adrenal function tests. It may not always need treatment.
Material and methods: An acute presentation of adrenal gland hypertrophy following an abdominal emergency, with subsequent hypoadrenalism was investigated.
Results: Adrenal medullary and cortical function fully recovered without treatment.
Conclusions: We postulate that the adrenal glands became enlarged and hypertrophied during an acute stress event, possibly caused by acute adrenal medullary hypersecretion and subsequent cortical hyposecretion. A wait and watch policy should be followed if no other clinical symptoms and signs of adrenal disease are present. CT scan remains an important diagnostic tool.

Author Biographies

Devaka J Fernando,
Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK Consultant Physician Honorary Professor and Head of Department

References

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  • Published: 2015-11-17

    Issue: Vol 3 No 1 (view)

    Section: Articles

    How to cite:
    Arella, V., Mudenha, E., Okpe, A., & Fernando, D. (2015). Acute Transient Stress Induced Adrenal Hypertrophy and Adrenal Medullary Hyperactivity. European Journal of Case Reports in Internal Medicine, 3(1). https://doi.org/https://doi.org/10.12890/2015_000257