Early Identification and Diagnosis of Adrenal Crisis after Retroperitoneal Laparoscopic Unilateral Adrenalectomy

Updata:01-01-1970

Source:
By:Li Wan, Yong Wang, Shubin Wang, Jingzhao Cao, Zhengjin Yi, Xiangyu Liu, Chuan Xiao, Yun Luo, Xupan Wei

DOI: https://doi.org/10.30564/jer.v2i2.2764

Abstract:

The occurrence of adrenal crisis after retroperitoneal laparoscopic unilateral adrenalectomy is usually concealed. If not timely diagnosis and treatment,it may cause shock, and even lead to death. It is very difficult to distinguish the clinical manifestations of adrenal crisis from nausea, vomiting, fatigue,gas separation from the lower diaphragm, abdominal pain, hypotension, hypertension, fever and hypothermia after operation. This makes it very difficult to identify and diagnose adrenal crisis early. This article mainly discusses the early recognition, diagnosis and treatment of adrenal crisis after unilateral adrenalectomy by retroperitoneoscope.

References:

[1]You BR. Emergency management of acute adrenocortical insufficiency (adrenal crisis) in British adults[J]. Fujian Med J, 2017, 39(3): 24-25.https://kns.cnki.net/KXReader/Detail?TIMESTAMP=637450289961429141&DBCODE=CJFD&TABLEName=CJFDLAST2017&FileName=FJYY201703005&RESULT=1&SIGN=G%2b9qZNWRXipytQciOq9Is7%2fG3fg%3d [2]Smans LC, Van der Valk ES, Hermus AR, et al. Incidence of adrenal crisis in patients with adrenal insufficiency[J]. Clin Endocrinol, 2016, 84(1): 17-22.DOI: 10.1111/cen.12865 [3]Hahner S, Mbleicken L. Epidemiology of adrenal crisis in chronic adrenal insufficiency: the need for new prevention strategies[J]. Eur J Endocrinol, 2010, 162(3): 597-602.DOI: 10.1530/EJE-09-0884 [4]MEYER G, BADENHOOP K, LINDER R. Addison’s disease with phlyglandular autoimmunity carries a more than 2.5-foid risk for adrenal crises:-German Health insurance data 2010-2013[J]. Clin Endocrinol(Oxf), 2016, 85(3): 347-353.DOI: 10.1111/cen.13043 [5]Organization WH. ICD-10. International Statistical Classification of Diseases and Related Health Problems[J]. Acta Chir Iugoslavica, 2009, 56(3): 65-69.DOI: 10.2298/ACI0903065V [6]Allolio B. Extensive expertise in endocrinology. Adrenal crisis[J]. Eur J Endocrind, 2015, 172(3):115-124.DOI: 10.1530/eje-14-0824 [7]Anand G, Beuschlein F. Management of Endocrine Disease: Fertility, pregnancy and lactation in women with adrenal insufficiency[J]. Eur J Endocrinol, 2018,178(2): 45-53.DOI:10.1530/EJE-17-0975 [8]Li XX, Liu J, Chen YL, et al. Atypical Presentation of Adrenocortical Insufficiency with Anorexia and Jaundice[J]. Am J Case Rep, 2018, 19: 705-709.DOI: 10.12659/AJCR.909190 [9]Bergthorsdottir R, Leonssonzachrisson M, Oden A,et al. Premature mortality in patients with Addison’s disease: a population-based study[J]. J Clin Endocrinol Metab, 2006, 91(12): 4849-4853.DOI: 10.1210/jc.2006-0076 [10] Wang L, Li Q. Evaluation of adrenal function and hormone replacement in patients with pituitary adenoma after operation[J]. Clin Med China, 2016,32(8): 757-760+761.DOI:10.3760/cma.j.issn.1008-6315.2016.08.025 [11] Jin L, Liu JF. Septic shock complicated with adrenocortical crisis after gastric perforation: a case report[J]. Zhejiang J Traum Surg, 2017, 22(2): 399-400.DOI: 10.3969/j.issn.1009-7147.2017.02.092 [12] Grossmann M, Topliss DJ. A cool case: hypothermia and adrenal failure[J]. Lancet, 2006,368(9553):2184.DOI: 10.1016/S0140-6736(06)69866-8 [13] MEYER G, BADENHOOP K, LINDER R. Addison’s disease with phlyglandular autoimmunity carries a more than 2.5-foid risk for adrenal crises:German Health insurance data 2010-2013[J]. Clin Endocrinol (Oxf), 2016, 85(3): 347-353.DOI: 10.1111/cen.13043 [14] Hahner Stefanie, Spinnler Christina, Fassnacht Martin, et al. High incidence of adrenal crisis in educated patients with chronic adrenal insufficiency: a prospective study[J]. J Clin Endocrinol Metab, 2015,100(2): 407-16.DOI: 10.1210/jc.2014-3191 [15] Yang Ys, Luo by. Adrenal crisis[J]. Int J Endocrinol metab, 2005, 25(3): 214-215.DOI:10.1007/s00390-005-0546-4 [16] Hahner S, Loeffler M, Bleicken B, et al. Epidemiology of adrenal crisis in chronic adrenal insufficiency:the need for new prevention strategies[J]. Eur J Endocrinol, 2010, 162(3): 597-602.DOI:10.1530/EJE-09-0884 [17] White K, Arlt W. Adrenal crisis in treated Addison’s disease:a pre-dictable but under-managed event[J].Eur J Endocrinol, 2010, 162(1): 115-120.DOI: 10.1530/EJE-09-0559 [18] Mastorakos G, lias I. Maternal and fetal hypothalamic-pituitaryadrenal axes during pregnancy and postpartum[J]. Ann N Y Acad Sci, 2010, 997(1): 136-149.DOI: 10.1196/annals.1290.016 [19] White K, Arlt W. Adrenal crisis in treated Addison’s disease: a predictable but under-managed event[J].Euro J Endocrinol, 2010, 162(1): 115.DOI: 10.1530/EJE-09-0559 [20] Hahner S, Spinnler C, Fassnacht M, et al. High incidence of adrenal crisis in educated patients with chronic adrenal insufficiency-a prospective study[J].J Clin Endocrinol Metab, 2015, 100(2):407-416.DOI: 10.1210/jc.2014-3191 [21] Bouillon R. Acute Adrenal Insufficiency[J]. Endocrinol Metab Clin, 2006, 35(4): 767-775.DOI:10.1016/j.ecl.2006.09.004 [22] Bornstein SR, Allolio B, Arlt W, et al. Diagnosis and Treatment of Primary Adrenal Insufficiency:An Endocrine Society Clinical Practice Guideline[J]. J Clin Endocrinol Metab, 2016,101(2): 64-389.DOI: 10.1210/jc.2015-1710 [23] Nolten WE, Lindheimer MD, Rueckert PA, et al. Di urnal Patterns and Regulation of Cortisol Secretion in Pregnancy[J]. J Clin Endocrinol Metab, 1980, 51(3):466-472.DOI:10.1210/jcem-51-3-466 [24] Smith JS. Acute Adrenal Insufficiency[J]. Comprehensive Therapy, 2006, 35(4): 767-775.DOI:10.1016/j.ecl.2006.09.004 [25] Meeking S. Treatment of Acute Adrenal Insufficiency[J]. Clin Tech Small Anim Pract, 2007,22(1):36-39.DOI: 10.1053/j.ctsap.2007.02.006 [26] Husebye ES,Allolio B,Arlt W,et al. Consensus statement on the diagnosis, treatment and follow-up of patients with primary adrenal insufficiency[J]. J Intern Med, 2014, 275(2): 104-115.DOI:10.1111/joim.12162 [27] Jung C, Inder WJ. Management of adrenal insufficiency during the stress of medical illness and surgery[J]. Med J Aust, 2008, 188(7): 409-413.DOI: 10.5694/j.1326-5377.2008.tb02071.x [28] Brent F. Addison’s disease and pregnancy[J]. Am J Surg, 1950, 79(5): 645-652. [29] Park J, Didi M, Blair J. The diagnosis and treatment of adrenal insufficiency during childhood and adolescence[J]. Arch Dis Child, 2016, 101(9): 860-5.DOI: 10.1136/archdischild-2015-308799 [30] Kong SM, Luo JM. Clinical characteristics and mutation analysis of NR0B1 and steroid-generating factor-1 gene in 7 children with primary adrenocortical hypofunction[J]. Guangxi Med J, 2017, 39(03): 337-341+349.DOI: 10.11675/j.issn.0253-4304.2017.03.15 [31] Arlt W. The approach to the adult with newly diagnosed adrenal insufficiency[J]. J Clin Endocrinol Metab, 2009, 94(4): 1059-1067.DOI: 10.1210/jc.2009-0032 [32] Bhattacharyya A, Macdonald J, Lakhdar AA. Acute adrenocortical crisis: three different presentations[J].Intern J Clin Pract, 2001, 55(2): 141-144.https://schlr.cnki.net/Detail/index/SJPD_03/SJPD12090303313868 [33] Streeten DHP, Anderson GH, Bonaventura MM. The potential for serious consequences from misinterpreting nomal responses to the rapid adrenocorticotropin test[J]. J Clin Endocrinol Metab, 1996,81:285-290.DOI: 10.1210/jcem.81.1.8550765 [34] Bao WG. Clinical analysis of 20 cases of acute adrenocortical crisis[J]. Chin Mod Med, 2012,19(28):27-28.https://kns.cnki.net/KXReader/Detail?PlatForm=kdoc&TIMESTAMP=637450271831331484&DBCODE=CJFD&TABLEName=CJFD2012&FileName=ZGUD201228017&RESULT=1&SIGN=tduK%2fOH7m00J5Ed7vE3FIbdZXco%3d [35] Quinkler M, Dahlqvist Pr, Husebye ES, et al. A European Emergency Card for adrenal insufficiency can save lives[J]. Eur J Intern Med, 2015, 26(1): 75-6.DOI: 10.1016/j.ejim.2014.11.006 [36] Irina B, Stefanie H. Diagnosis and management of adrenal insufficiency[J]. Lancet Diabetes Endocrinol,2015, 3: 216-226.DOI: 10.1016/S2213-8587(14)70142-1

Tags: