POSTTRAUMATIC LEFT ADRENAL HEMORRHAGE WITHOUT ANY ASSOCIATED SOLID ORGAN CONTUSION: A RARE CASE
Abstract
Introduction: Adrenal trauma is a rare condition in multi-trauma patients and frequently associated with other organ injuries. The diagnosis is mostly made by imaging findings based on CT but ultrasound images can also be helpful. This paper reports a rare condition of left adrenal hemorrhage without any associated solid organ injury.
Case Report: Our patient was a 25 years old male and he admitted to the emergency department of our hospital after a blunt abdominal trauma caused by a traffic accident. The CT images were obtained to investigate solid organ trauma in the abdominal region and imaging findings revealed left adrenal hemorrhage. There was no other solid organ contusion neither in the left nor the right side of the abdomen in CT images. The blood tests and other physical examinations showed no abnormality except a mild abdominal guarding on the left side of the abdomen.
Conclusion: Adrenal hemorrhage is an uncommon finding in trauma patients. Adrenal injury can be fatal and the radiologists should be aware of accompanying solid organ contusions with this rare entity.
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References
2. Ikeda O, Urata J, Araki Y, et al. Acute adrenal hemorrhage after blunt trauma [J]. Abdom Imaging 2007;32(2):248-52.
3. M. Safioleas, M. Stamatakos, C. Safioleas, et al. Adrenal rupture after blunt abdominal trauma. Chirurgia, 103 (1): 107-109
4. Rammelt S, Mucha D, Amlang M, et al. Bilateral adrenal hemorrhage in blunt abdominal trauma. J Trauma 2000;48:332-5.
5. Porter JM, Muscato K, Patrick JR. Adrenal hemorrhage: a comparison of traumatic and non-traumatic deaths. J Natl Med Assoc 1995;87:569-71.
6. Sevitt S. Post-traumatic adrenal apoplexy. J Clin Pathol 1955;8:185-94.
7. Burks DW, Mirvis SE, Shanmuganathan K. Acute adrenal injury after blunt abdominal trauma: CT findings. Am J Roentgenol 1992;158:503-7.
8. Mehrazin R, Derweesh IH, Kincade MC, et al. Adrenal trauma: Elvis Presley memorial trauma center experience. Urology 2007;70:851-5.
9. F Rugara, J Lee, D Spernat, S Appu. Adrenal Trauma In The Absence Of Synchronous Intra-Abdominal Pathology. The Internet Journal of Urology. 2010 Volume 9 Number 1.
