Acute adrenal crisis after orthopedic surgery for pathologic fracture

Description: Case presentation We report a 75-year-old man who presented with shock immediately after surgery for a femoral fracture from lung cancer metastasis. Anemia and severe hyponatremia were detected. Despite adequate fluid resuscitation, nonspecific symptoms including hypotension, tachycardia, hypoxia, fever and confusion occurred. Emergent CT revealed enlarged bilateral adrenal glands. Under the diagnosis of adrenal crisis due to metastatic infiltration of adrenal glands, the patient was treated with appropriate steroid replacement resulting in rapid improvement and recovery.
World J Surg Oncol. 2007; 5: 27.
Acute adrenal crisis after orthopedic surgery for pathologic fracture
Norifumi Naka, Satoshi Takenaka, Katsuhiko Nanno, Yu Moriguchi, Bang-mi Chun, Shunji Sonoda, Nobuyuki Hashimoto, Yoshitane Tsukamoto, and Nobuhito Araki