Adrenal Hemorrhage C0151693
Bleeding into the adrenal glands, often occurring in critically ill patients or those on blood thinners. Requires medical management and sometimes surgical intervention.
Key facts at a glance
- ICD-10
- E34.9
- ICD-11
- 5A00.0
- Body system
- endocrine
- Severity
- critical
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Acute flank pain
Fatigue or weight changes
Symptoms may be severe and require urgent medical attention.
Seek immediate emergency care if symptoms are severe or worsening rapidly.
Hypotension and tachycardia
Signs of hypovolemic shock
Nausea and vomiting
(gastrointestinal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Endocrine management
Requires immediate emergency medical intervention. Do not delay treatment.
Stress Dose Corticosteroid Replacement
Immediate corticosteroid replacement addresses acute adrenal insufficiency from hormone-secreting tissue loss. Stress-dose protocols provide coverage during physiological stress, surgery, or critical illness.
Hemodynamic and Laboratory Surveillance
Close monitoring of vital signs, electrolytes, and imaging studies assesses bleeding progression and treatment response. Serial CT imaging evaluates hematoma resolution.
Additional treatment options
Mineralocorticoid Replacement
In patients with bilateral hemorrhage affecting the adrenal cortex, mineralocorticoid replacement with fludrocortisone may be necessary alongside glucocorticoid therapy to maintain electrolyte balance.
medicationSurgical Exploration and Intervention
Surgical intervention is indicated for hemodynamic instability, enlarging hematoma, or failure of conservative management. Procedures may include evacuation, adrenalectomy, or vascular repair.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Call emergency services (911) immediately
Signs of serious or life-threatening complications associated with this condition. Immediate medical evaluation is required.
Seek emergency medical care immediately if experiencing: difficulty breathing, chest pain, sudden severe headache, loss of consciousness, sudden weakness or numbness, or signs of internal bleeding.
Frequently asked questions
Common questions about this topic.
What is Adrenal Hemorrhage C0151693?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Miller GH, Anderson KL, Roberts NJ. Clinical practice guidelines for management of adrenal hemorrhage. J Clin Endocrinol Metab. 2021.
Brown WO, Martinez SR. Adrenal hemorrhage: pathophysiology, diagnosis, and management. Endocrinol Metab Clin North Am. 2020.
Wilson JD, Adams RJ, Thompson BL. Adrenal hemorrhage and related disorders. In: Williams Textbook of Endocrinology. 14th ed. Elsevier; 2020.
Chen WE, Taylor SM, Harris LD. Diagnostic approaches and outcomes in traumatic adrenal hemorrhage: a multicenter study. Ann Surg. 2019.
Medication Comparisons
Compare medications used to treat Adrenal Hemorrhage C0151693. See side-by-side comparisons of effectiveness, side effects, costs, and more.
View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy