Bilateral adrenal haemorrhage.
Learning points for clinicians

Adrenal haemorrhage (AH) is a rare condition with unknown incidence. Due to non-specific symptoms, it can present to many specialities (e.g. general medicine, urology, emergency medicine etc.). Clinicians require a high clinical suspicion to avoid missing the diagnosis.

AH has potentially life threatening consequences and historically was often diagnosed at autopsy.2 AH has been reported to occur spontaneously, but is associated with additional predisposing factors. Those reported include anticoagulation, underlying adrenal lesions (e.g. metastatic disease or primary adrenal tumour), …