Skip to main content

Table 1 Adrenal insufficiency after orthopaedic surgery

From: Acute adrenal insufficiency following arthroplasty: a case report and review of the literature

Cases Author Country Age Sex Type of surgery Diagnosis Symptoms Biochemical exams
1 Findling et al., 1987 [15] USA 44 M unspecified CT abdominal pain, vomiting, hypotension hyponatremia, hyperkalemia
2 Delhumeau et al., 1989 [16] France 76 F total hip arthroplasty abdominal ultrasound abdominal pain, fever, hypotension, altered consciousness hyponatremia, natriuresis, thrombocytopenia
3 74 M tibial osteosynthesis not done abdominal pain, fever, hypotension, shock, altered consciousness hyponatremia, thrombocytopenia
4 62 M tibial osteosynthesis CT abdominal pain, asthenia, nausea hyponatremia, thrombocytopenia
5 Ernest and Fischer, 1991 [17] Australia 68 F total hip arthroplasty CT fever, hypotension hyponatremia, hyperkalemia
6 Souied et al., 1991 [18] France 63 F total hip arthroplasty CT fever, hypotension hyponatremia, hyperkalemia
7 Bleasel et al., 1992 [19] Australia 69 F total knee arthroplasty CT fever, nausea, vomiting, abdominal pain, hypotension hyponatremia, hyperkalemia
8 Hardwicke and Kisly, 1992 [20] USA 63 F bilateral total knee arthroplasty CT fever, nausea, anorexia, vomiting, abdominal pain, confusion, feeling of illness, hypotension anemia, hyponatremia, hyperkalemia
9 Delhumeau et al., 1993 [21] France 74 M total hip arthroplasty, thrombectomy of both limbs due to bilateral arterial thrombosis CT abdominal pain, fever, hypotension, abdominal tenderness hyponatremia, hyperkalemia
10 Santonastaso et al., 1993 [22] Italy not reported F osteotomy CT somnolence, asthenia, hypotension not reported
11 Ries et al., 1994 [23] USA 61 F bilateral total knee arthroplasty autopsy abdominal discomfort, nausea, collapse none
12 Cozzolino et al., 1997 [24] USA 66 F total knee arthroplasty CT nausea, anorexia, emesis, lethargy hyponatremia, hyperkalemia, anemia, azotemia
13 Rowland et al., 1999 [25] Australia 50 M unspecified CT fever, abdominal pain, dizziness, hypotension hyponatremia
14 Caubet et al., 1999 [26] France 63 F tibial osteosynthesis CT fever, hypotension, tachypnea thrombocytopenia, hyponatremia, hyperkalemia, elevated INR
15 Scheffold et al., 2001 [27] Germany 63 M intracondylar nail-extension abdominal ultrasound abdominal pain, fever leukocytosis
16 LaBan et al., 2003 [28] USA 82 F bilateral knee arthroplasty CT abdominal pain, nausea elevated INR, hyponatremia
17 Schuchmann et al., 2005 [8] USA 83 F bilateral total knee arthroplasty autopsy anxiety, hypertension, midback pain, shortness of breath, shock hyponatremia, hypochloremia, leukocytosis, anemia, elevated INR
18 Kurtz and Yang, 2007 [29] USA 54 F total hip arthroplasty CT fever, abdominal pain, orthostatic syncope not reported
19 Mongardon et al., 2007 [30] France 64 M total hip arthroplasty CT fever, abdominal pain, confusion, hypotension thrombocytopenia, high urinary sodium
20 Thota et al., 2012 [31] USA 68 M bilateral total knee arthroplasty CT fever, abdominal discomfort, anorexia, fatigue, hypertension, tachycardia, altered mental status hyperglycemia, leukocytosis, anemia, thrombocytopenia, hyponatremia
21 Chow et al., 2012 [32] USA 44 M bilateral total knee arthroplasty CT hypotension, abdominal pain, tachycardia, fever leukocytosis, D-dimers elevation, hyponatremia, thrombocytopenia