This 70-years old man with COVID-19 has a CT scan showing typical lung findings. He also has bilateral adrenal hemorrhage in the upper abdomen, which was unsuspected clinically.

There have been a few case reports of patients with adrenal hemorrhage and insufficiency in the setting of COVID-19, likely related to a coagulation disorder. This can be life-threatening causing acute adrenal insufficiency.

Unfortunately, this patient did not survive. He collapsed the next day before his COVID-19 could be proven or any further testing could be done.