A case of bilateral adrenal infarction with preserved adrenal function diagnosed by dual-energy computed tomography

Misaki Shoji, MD; Tomoko Hyodo, MD; Yosuke Nagasawa, MD; Masahiro Nishihara, MD; Hideki Nakamura, MD, PhD; Yoshihiro Nakamura, MD; Hiroki Kobayashi, MD; Masanori Abe, MD; Masahiro Okada, MD

Radiology Case Reports (Jul 2024)

A case of bilateral adrenal infarction with preserved adrenal function diagnosed by dual-energy computed tomography

Misaki Shoji, MD,
Tomoko Hyodo, MD,
Yosuke Nagasawa, MD,
Masahiro Nishihara, MD,
Hideki Nakamura, MD, PhD,
Yoshihiro Nakamura, MD,
Hiroki Kobayashi, MD,
Masanori Abe, MD,
Masahiro Okada, MD

Affiliations

Misaki Shoji, MD: Department of Radiology, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Tomoko Hyodo, MD: Department of Radiology, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan; Corresponding author.
Yosuke Nagasawa, MD: Division of Hematology and Rheumatology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Masahiro Nishihara, MD: Division of Hematology and Rheumatology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Hideki Nakamura, MD, PhD: Division of Hematology and Rheumatology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Yoshihiro Nakamura, MD: Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Hiroki Kobayashi, MD: Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Masanori Abe, MD: Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan
Masahiro Okada, MD: Department of Radiology, Nihon University School of Medicine, 30-1 Ohyaguchi-kami-cho, Itabashi-ku, Tokyo 173-8610, Japan

Journal volume & issue: Vol. 19, no. 7
pp. 2879 – 2885

Abstract

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We report a case wherein adrenal function remained preserved despite bilateral adrenal infarction, as evidenced by dual-energy computed tomography (DECT) iodine density images. The patient was a 37-year-old man with a history of antiphospholipid syndrome concomitant with systemic lupus erythematosus. The patient underwent contrast-enhanced DECT, which revealed bilateral adrenal infarction. Laboratory tests revealed preserved adrenal function. On the iodine density images, the infarcted and noninfarcted areas in the adrenal glands were visually different. The volume of the non-infarcted area was 8.9 mL, which was 41% of the total adrenal volume. DECT may be a useful complementary tool for assessing the preservation of adrenal function.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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