Bilateral Adrenal Hemorrhage in Pregnancy: A Clinical Report of a Rare Case

Adrenal hemorrhage in pregnancy, particularly of spontaneous origin, is an exceedingly rare phenomenon. We present the case of a 19-year-old primigravida, at 38 weeks gestation, afflicted by bilateral spontaneous adrenal hemorrhage. Initial presentation with severe abdominal pain posed diagnostic conundrums, necessitating a meticulous and multidisciplinary approach. Radiological evaluations revealed bilateral adrenal gland thickening, raising the suspicion of adrenal hemorrhage. The ensuing management included blood transfusion and steroid therapy, pivotal in stabilizing the patient's precarious clinical state. This case underscores the imperative of interdisciplinary collaboration and expeditious interventions in navigating medical complications during pregnancy as well as the importance of keeping in mind differential diagnoses such as adrenal insufficiency.