Bilateral adrenal hemorrhage after colectomy for perforated diverticulitis: A case report

•Bilateral adrenal hemorrhage is a rare complication associated with major insult, associated with sepsis and coagulopathy.•Postoperative bilateral adrenal hemorrhage could be lifethreatening and its essential to have high level of suspicion.•The diagnosis for bilateral adrenal hemorrhage is based on biochemical testing and cross-sectional imaging.•Treatment is with steroid replacement which could be temporary or permanent.