Traumatic adrenal haemorrhage : a case report

Introduction: Adrenal injuries are rare, as the adrenal glands lies deep in the abdomen, seemingly protected from blunt abdominal trauma. Computed tomography(CT) is the gold standard for evaluating adrenal gland injuries, where haematoma and active bleeding due to injury to the suprarenal vessels ma...

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Main Authors:	Che Mohamed, Siti Kamariah, Abdul Rashid, Mohd Amran, S, Sharini, J, Khairussaleh
Format:	Conference or Workshop Item
Language:	English
Published:	2009
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/23328/ http://irep.iium.edu.my/23328/1/Traumatic_Adrenal_Hge.pdf

id	iium-23328
recordtype	eprints
spelling	iium-233282012-12-31T08:10:54Z http://irep.iium.edu.my/23328/ Traumatic adrenal haemorrhage : a case report Che Mohamed, Siti Kamariah Abdul Rashid, Mohd Amran S, Sharini J, Khairussaleh R Medicine (General) Introduction: Adrenal injuries are rare, as the adrenal glands lies deep in the abdomen, seemingly protected from blunt abdominal trauma. Computed tomography(CT) is the gold standard for evaluating adrenal gland injuries, where haematoma and active bleeding due to injury to the suprarenal vessels may be visualized using new multi-detector row CT (MDCT). The prevalence of adrenal haemorrhage among patients with blunt abdominal trauma undergoing CT scanning is 2%, among which 60% occur on the right side, 25% on the left and 15% are bilateral. Depending on the extent of the injury and the patients haemodynamic stability, adrenal haemorrhage is addressed surgically or conservatively. Case Report: We report a case of 42 years old Malay man who alleged fall from 3 story height and sustained right haemopneumothorax, bilateral lung contusion, fractures of lower right ribs, open fracture right radius and right elbow dislocation. In view of the presence of haematuria, urinary tract injury was suspected and CT scan of the abdomen was done. In addition to the ipsilateral thoracic injury, there were right adrenal and psoas haematoma with fracture right transverse process of L2-L4 vertebra. Other intraabdominal solid organs were intact. Patient was treated conservatively as he was haemodynamically stable. Conclusions: Blunt adrenal injuries usually present as part of a multiorgan trauma. Familiarity with characteristic CT findings of adrenal trauma is essential for the radiologist to avoid misdiagnosis. 2009 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/23328/1/Traumatic_Adrenal_Hge.pdf Che Mohamed, Siti Kamariah and Abdul Rashid, Mohd Amran and S, Sharini and J, Khairussaleh (2009) Traumatic adrenal haemorrhage : a case report. In: 14th National Conference on Medical and Health Sciences, 21-22 May 2009, Kubang Kerian, Kelantan. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Che Mohamed, Siti Kamariah Abdul Rashid, Mohd Amran S, Sharini J, Khairussaleh Traumatic adrenal haemorrhage : a case report
description	Introduction: Adrenal injuries are rare, as the adrenal glands lies deep in the abdomen, seemingly protected from blunt abdominal trauma. Computed tomography(CT) is the gold standard for evaluating adrenal gland injuries, where haematoma and active bleeding due to injury to the suprarenal vessels may be visualized using new multi-detector row CT (MDCT). The prevalence of adrenal haemorrhage among patients with blunt abdominal trauma undergoing CT scanning is 2%, among which 60% occur on the right side, 25% on the left and 15% are bilateral. Depending on the extent of the injury and the patients haemodynamic stability, adrenal haemorrhage is addressed surgically or conservatively. Case Report: We report a case of 42 years old Malay man who alleged fall from 3 story height and sustained right haemopneumothorax, bilateral lung contusion, fractures of lower right ribs, open fracture right radius and right elbow dislocation. In view of the presence of haematuria, urinary tract injury was suspected and CT scan of the abdomen was done. In addition to the ipsilateral thoracic injury, there were right adrenal and psoas haematoma with fracture right transverse process of L2-L4 vertebra. Other intraabdominal solid organs were intact. Patient was treated conservatively as he was haemodynamically stable. Conclusions: Blunt adrenal injuries usually present as part of a multiorgan trauma. Familiarity with characteristic CT findings of adrenal trauma is essential for the radiologist to avoid misdiagnosis.
format	Conference or Workshop Item
author	Che Mohamed, Siti Kamariah Abdul Rashid, Mohd Amran S, Sharini J, Khairussaleh
author_facet	Che Mohamed, Siti Kamariah Abdul Rashid, Mohd Amran S, Sharini J, Khairussaleh
author_sort	Che Mohamed, Siti Kamariah
title	Traumatic adrenal haemorrhage : a case report
title_short	Traumatic adrenal haemorrhage : a case report
title_full	Traumatic adrenal haemorrhage : a case report
title_fullStr	Traumatic adrenal haemorrhage : a case report
title_full_unstemmed	Traumatic adrenal haemorrhage : a case report
title_sort	traumatic adrenal haemorrhage : a case report
publishDate	2009
url	http://irep.iium.edu.my/23328/ http://irep.iium.edu.my/23328/1/Traumatic_Adrenal_Hge.pdf
first_indexed	2023-09-18T20:35:20Z
last_indexed	2023-09-18T20:35:20Z
_version_	1777409007748644864

Traumatic adrenal haemorrhage : a case report

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