659 Unilateral Infarction of Adrenal Gland During Pregnancy: A Case Report and Important Learning Point

Abstract Background Abdominal pain in pregnancy offers a challenge for the General surgeon. Unilateral adrenal infarction is an extremely rare event. Case presentation: We report case of obese 23-year-old pregnant female G4 P1 + 2 diagnosed with unilateral and hemorrhage. She presented at 34 5 weeks severe RUQ flank under obstetric team. After initially being discharged, she later returned intractable pain. Examination initial investigations (USS KUB abdomen) were inconclusive. was empirically treated pylonephritis. During night underwent emergency c-section due to uncontrollable Subsequently, CT abdomen demonstrated right infarct Discussion: often leads delay diagnosis should be part differential patients (1.3%). It event generally by or MRI scan showing attenuation swelling glands. Physiologically it state venous circulation during alongside others coagulation risks factor. Learning point: To consider when first line normal. Key Investigations: AP after. Discussion MDT screen disorder.