[Addison's disease causing acute abdomen].

Abstract

A 15 year-old girl with three days of upper abdominal pain was admitted to hospital. Vital parametres were within normal limits. Blood samples and abdominal computed tomography were normal. As pain increased diagnostic laparoscopy was performed and mesenteriel lymphadenitis was found. Thorough examinations were performed including laparotomy. A synachtentest showed an insufficient level of cortisol. The patient was diagnosed with Addison's disease and responded well to treatment with cortisone. Symptoms of adrenal insufficiency can be vague, and it is important to keep the diagnosis in mind in patients with unexplained abdominal pain.

• Authors: Anne Anker Thyø, Susanne Bach Lausten
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 174 Issue 21 Pg. 1458-9 (May 21 2012) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Mb. Addisonii som årsag til akut abdomen.
• PMID: 22640787 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Cosyntropin
• Hydrocortisone

Topics

• Abdomen, Acute (drug therapy, etiology, surgery)
• Addison Disease (complications, diagnosis, drug therapy)
• Adolescent
• Cosyntropin
• Diagnosis, Differential
• Female
• Humans
• Hydrocortisone (metabolism, therapeutic use)