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

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

doi:10.1016/j.radcr.2024.03.065

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

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

Nihon University

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	2879-2885
Number of pages	7
Journal	Radiology Case Reports
Volume	19
Issue number	7
DOIs	https://doi.org/10.1016/j.radcr.2024.03.065
Publication status	Published - Jul 2024

Keywords

Adrenal infraction
Dual-energy computed tomography
Iodine density images

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10.1016/j.radcr.2024.03.065

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

abstract = "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.",

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T1 - A case of bilateral adrenal infarction with preserved adrenal function diagnosed by dual-energy computed tomography

AU - Shoji, Misaki

AU - Hyodo, Tomoko

AU - Nagasawa, Yosuke

AU - Nishihara, Masahiro

AU - Nakamura, Hideki

AU - Nakamura, Yoshihiro

AU - Kobayashi, Hiroki

AU - Abe, Masanori

AU - Okada, Masahiro

PY - 2024/7

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N2 - 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.

AB - 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.

KW - Adrenal infraction

KW - Dual-energy computed tomography

KW - Iodine density images

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DO - 10.1016/j.radcr.2024.03.065

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

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