02 September 2023
: Case report 
A 65-Year-Old Man with Bilateral Adrenal Hemorrhage Following Prophylaxis for Postoperative Deep Vein Thrombosis with Rivaroxaban
Unusual clinical course, Challenging differential diagnosis
Safa Al-Rawi
1EF*, Mustafa Seidahmed2AEF, Saeed Saleh Emam3D, Eman S. Othman4DF
DOI: 10.12659/AJCR.939816
Am J Case Rep 2023; 24:e939816
Table 1. Laboratory data.
| Tests | Results | Reference range |
|---|---|---|
| Hemoglobin | 103 | 130–170 g/L |
| Platelets | 213×10 | 150–400×10v/L |
| Leukocytes | 13×10 | 4–10×10/L |
| PT | 15.2 | 13 s |
| INR | 1.3 | 0.0–1.1 |
| Creatinine | 55 | 62–106 μmol/L |
| Urea | 4 | 2.76–8.07 mmol/L |
| Sodium | 126 | 136–145 mmol/L |
| Potassium | 3.6 | 3.5–5.1 mmol/L |
| Calcium | 2.23 | 2.20–2.55 mmol/L |
| Total bilirubin | 23 | 0.0–19.0 μmol/L |
| AST | 24 | 0.0–37.0 iu/L |
| ALT | 19 | 0.0–40.0 iu/L |
| ALP | 58 | 98–279.0 iu/L |
| Albumin | 28 | 35.0–55.0 g/L |
| Troponin T (set) | 38-107-120 | <15 ng/L |
| Lipase | 17 | 13–60 u/L |
| Quantiferon | Indeterminate | Negative |
| HIV Ab/Ag combo | Negative | Negative |
| Lupus anticoagulant | Negative | Negative |
| Anticardiolipin Ab (IgM/IgG) | Negative | Negative |
| Peripheral smear | Mild normocytic normochromic anemia and mild neutrophilic leukocytosis | – |
| AST – aspartate transaminase; ALT – alanine transaminase; ALP – alkaline phosphatase; PT – prothrombin time; INR – international normalized ratio; HIV – human immunodeficiency virus; Ab – antibody. | ||