Postpartum Spontaneous Adrenal Hematoma
Bibliographic record
Abstract
Adrenal hematoma refers to an acute hemorrhage originating from the adrenal gland. When it occurs spontaneously, without an associated traumatic event (the most common cause), it is categorized as spontaneous adrenal hematoma. Spontaneous adrenal hematoma is a very rare condition, particularly during the postpartum period. Although a few cases of adrenal hematoma during pregnancy have been documented in the literature, no cases have been reported during the puerperium. We present the case of a 43-year-old woman who experienced acute right-sided flank pain, fever, and fatigue 3 days after delivering a baby vaginally. Following an angiography-computed tomography (angio-CT) scan to rule out thromboembolism, the radiologist identified a unilateral hemorrhagic mass on the adrenal gland. The management of this adrenal hematoma involved a conservative approach, which included rest and close monitoring to prevent rupture and adrenal insufficiency. Clinical diagnosis of spontaneous adrenal hematoma presents a significant challenge due to its vague and nonspecific symptoms, especially during the puerperium, as these symptoms can overlap with other common postpartum complications. Diagnosis is often incidental and relies on imaging studies. In this particular case, a high degree of clinical suspicion and a thorough diagnostic workup were crucial in achieving the correct diagnosis. Through this case report, we aim to raise awareness and provide a review of the current literature on this exceedingly rare condition. J Clin Gynecol Obstet. 2023;12(3):102-105 doi: https://doi.org/10.14740/jcgo917
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".