Although bilateral adrenal hemorrhage has been commonly found at the postmortem examination of a person who died suddenly, it has been associated with meningococcemia or other sepsis,1 pregnancy,2 the neonatal state,3 heparin therapy,4 or leukemia.5 Standard textbooks refer only to these primary causes.6 Unilateral adrenal apoplexy complicating hypertension is also rare but several cases were reported in 1945 by Edelman.7
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