Perioperative adrenal insufficiency presenting as refractory hypotension
Ye Sull Kim, Seung Park, Yejin Song, Aram Doo · 2026
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Description
Ye Sull Kim and three colleagues report a surgical emergency traced to a hormone shortage. A seventy-seven-year-old woman undergoing lower spine fusion developed dangerously low blood pressure during the operation. Fluids and several pressure-raising drugs failed to hold it. Her history held a clue: she had taken steroid medicines for rheumatoid arthritis, stopped nearly three decades earlier. Her skin was also unusually fragile.
The team suspected adrenal insufficiency, a state where the adrenal glands cannot supply enough cortisol for the stress of surgery. After the operation they gave her intravenous hydrocortisone, a lab-made form of that hormone. Her circulation steadied quickly and the pressure drugs could be withdrawn. Blood tests before and after surgery never proved the diagnosis outright. Even so, the pattern and her fast response made the case strong. She left the hospital without complications.
Catalog record
| CREATOR | Ye Sull Kim, Seung Park, Yejin Song, Aram Doo |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |