Isolated Adrenal Injury after Blunt Abdominal Trauma without Visceral Organ Injury

Won Hee Chon; Sung Woo Park; Sang Don Lee

doi:10.4111/kju.2008.49.12.1155

Journal List > Korean J Urol > v.49(12) > 1005045

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Chon, Park, and Lee: Isolated Adrenal Injury after Blunt Abdominal Trauma without Visceral Organ Injury

Case Report

Korean Journal of Urology

Korean Journal of Urology 2008; 49(12): 1155-1157.

Published online: 31 December 2008

DOI: https://doi.org/10.4111/kju.2008.49.12.1155

Isolated Adrenal Injury after Blunt Abdominal Trauma without Visceral Organ Injury

Won Hee Chon, Sung Woo Park, Sang Don Lee

Department of Urology, College of Medicine, Pusan National University, Busan, Korea.

psw-ooz@hanmail.net

Received 2 May 2008 Accepted 20 October 2008

Abstract

Isolated adrenal gland injuries have rarely been reported, but can be potentially devastating if unrecognized. Herein, we describe a case of an isolated adrenal gland injury following a motor vehicle accident. Under the diagnosis of an isolated adrenal injury without visceral organ injury by abdominopelvic CT, conservative management led to a favorable outcome.

Keywords: Adrenal glands, Injury

Figures and Tables

Fig. 1

Enhanced CT image obtained two hours after trauma shows a 6×4cm hematoma with active extravasation of vascular contrast material (arrow) in the right adrenal gland.

Fig. 2

Follow-up CT image obtained one week after the trauma shows a 4×2.5cm hematoma without active extravasation of vascular contrast material in the right adrenal gland.

Fig. 3

Follow-up CT image obtained 8 weeks after the trauma shows resolution of the hematoma without enhancement in the right adrenal gland.

References

1. Canton E. Apoplexy of the suprarenal capsule. Trans Pathol Soc Lond. 1863. 14:257.

2. Stawicki SP, Hoey BA, Grossman MD, Anderson HL 3rd, Reed JF 3rd. Adrenal gland trauma is associated with high injury severity and mortality. Curr Surg. 2003. 60:431–436.

3. Sevitt S. Post-traumatic adrenal apoplexy. J Clin Pathol. 1955. 8:185–194.

4. Sinelnikov AO, Abujudeh HH, Chan D, Novelline RA. CT manifestations of adrenal trauma: experience with 73 cases. Emerg Radiol. 2007. 13:313–318.

5. You JS, Chung SP, Park YS, Chung HS, Lee HS, Yu JS. Isolated adrenal hemorrhage after minor blunt trauma. Am J Emerg Med. 2007. 25:984.

6. Gomez RG, McAninch JW, Carroll PR. Adrenal gland trauma: diagnosis and management. J Trauma. 1993. 35:870–874.

7. Oto A, Ozgen B, Akhan O, Besim A. Delayed posttraumatic adrenal hematoma. Eur Radiol. 2000. 10:903–905.

8. Udobi KF, Childs EW. Adrenal crisis after traumatic bilateral adrenal hemorrhage. J Trauma. 2001. 51:597–600.

9. Tixedor N, Lesnik A, Vernhet H, Drianno N, Bousquet C, Senac JP. Embolization treatment of a traumatic adrenal hemorrhage. J Radiol. 1999. 80:733–735.

10. Guichelaar MM, Leenen LP, Braams R. Transient adrenocortical insufficiency following traumatic bilateral adrenal hemorrhage. J Trauma. 2004. 56:1135–1137.

TOOLS

Similar articles