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 2. Endocrinology work-up data.
| Test | Results | Reference range |
|---|---|---|
| Renin | 1.31 | 0.29–6.12 ng/mL/h |
| Aldosterone | 81.3 | 48.9–644.4 pmol/L |
| A/R ratio | 4 | <20 |
| ACTH | 194 | 7.2–63.3 pg/mL |
| Cortisol | 66 | 185–624 nmol/L |
| Testosterone | 5.3 | 10.4–25.0 nmol/L |
| DHEAS | 0.09 | 0.91–6.76 μmol/L |
| IGF 1 | 62 | 57–190 μg/L |
| Prolactin | 278 | 85–323 miu/L |
| TSH | 6.71 | 0.3–4.2 miu/L |
| T4 | 16.7 | 11.0–23.3 pmol/L |
| Plasma metanephrines | ||
| Metanephrines | <0.2 | <0.5 nmol/L |
| Normetanephrines | 1.1 | <0.9 nmol/L |
| ACTH – adrenocorticotropic hormone; A/R ratio – aldosterone/renin ratio; DEAS – dehydroepiandrosterone; IGF 1 – insulin-like growth factor 1; TSH – thyroid stimulating hormone; T4 – thyroxine. | ||