Bilateral adrenal gland hemorrhage in a patient treated with rivaroxaban

Willemijn Comuth*, Jens J. Christiansen, Anna Marie Bloch-Munster, Steen Husted

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review


This is the report of a case of a 63-year-old woman, with a history of recurrent deep vein thrombosis, who was admitted with abdominal pain and diagnosed with bilateral adrenal hemorrhage, resulting in acute adrenal insufficiency. Several risk factors for adrenal hemorrhage were present: stress because of infection, treatment with the factor Xa-inhibitor rivaroxaban and the presence of antiphospholipid antibodies. Venous thrombosis of the adrenal glands with subsequent hemorrhagic infarction is a possible mechanism. It is currently unclear if patients with antiphospholipid syndrome can be treated effectively and safely with a nonvitamin K-antagonist oral anticoagulant.

Original languageEnglish
JournalBlood Coagulation and Fibrinolysis
Issue number1
Pages (from-to)102-104
Publication statusPublished - 1. Jan 2017
Externally publishedYes


  • Antiphospholipid syndrome
  • Antithrombotics
  • Rivaroxaban
  • Venous thromboembolism


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