Adrenal Gland Hematomas in Trauma Patients

Rana, Atif; Kenney, Philip J.; Lockhart, Mark E.; McGwin, Gerald; Morgan, Desiree E.; Windham, Samuel T.; Smith, Jillian K.

doi:10.1148/radiol.2303021345

Cited by 86 publications

(72 citation statements)

References 13 publications

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“…ϾAdrenal gland injuries are rare in blunt abdominal trauma, and most are associated with great injury severity (1,2). Due to the unique adrenal anatomy and the trauma mechanism, adrenal injury is typically unilateral and right-sided (1)(2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

Isolated Post-traumatic Adrenal Hematoma: Detection by Bedside Ultrasound in the Emergency Department

Huang

Lee

Lin

et al. 2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Isolated Post-traumatic Adrenal Hematoma: Detection by Bedside Ultrasound in the Emergency Department

Huang

Lee

Lin

et al. 2012

The Journal of Emergency Medicine

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“…1). A study by Rana et al showed adrenal hematomas to be round or ovoid with a mean diameter of 2.8 cm and attenuation of 52 HU on contrast-enhanced CT [8]. Over time, the hematoma typically decreases in size and attenuation and may completely resolve.…”

Section: Traumamentioning

confidence: 99%

Imaging of adrenal and renal hemorrhage

et al. 2015

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Hemorrhage of the kidneys and adrenal glands has many etiologies. In the adrenal glands, trauma, anticoagulation, stress, sepsis, surgery, and neoplasms are common causes of hemorrhage. In the kidneys, reasons for hemorrhage include trauma, bleeding diathesis, vascular diseases, infection, infarction, hemorrhagic cyst rupture, the Antopol-Goldman lesion, and neoplasms. Angiomyolipoma and renal cell carcinoma are the neoplasms most commonly associated with hemorrhage in the kidneys and adrenal cortical carcinoma, metastases, and pheochromocytoma are associated with hemorrhage in the adrenal glands. Understanding the computed tomography and magnetic resonance imaging features, and causes of hemorrhage in the kidneys and adrenal glands is critical. It is also important to keep in mind that mimickers of hemorrhage exist, including lymphoma in both the kidneys and adrenal glands, and melanoma metastases in the adrenal glands. Appropriate imaging follow-up of renal and adrenal hemorrhage should occur to exclude an underlying malignancy as the cause. If there is suspicion for malignancy that cannot be definitively diagnosed on imaging, surgery or biopsy may be warranted. Angiography may be indicated when there is a suspected underlying vascular disease. Unnecessary intervention, such as nephrectomy, may be avoided in patients with benign causes or no underlying disease. Appropriate management is dependent on accurate diagnosis of the cause of renal or adrenal hemorrhage and it is incumbent upon the radiologist to determine the etiology.

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“…The diagnosis of ADGI has increased in recent years due to the application of multidetector Computed tomography (CT) scanning in the trauma setting and its accuracy in differentiation of adrenal trauma from other masses [10]. CT scan findings which are suggestive of ADGI are round or oval hematoma expanding the adrenal gland, irregular hematoma obliterating the gland, and uniform adrenal enlargement [8].…”

Section: Introductionmentioning

confidence: 99%

Traumatic adrenal gland injury: epidemiology and outcomes in a major Australian trauma center

Alsayali

Atkin

Rahim

et al. 2010

Eur J Trauma Emerg Surg

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Adrenal Gland Hematomas in Trauma Patients

Abstract: Adrenal hematoma was detected in 51 (1.9%) of 2,692 trauma patients who underwent CT, or 0.8% of all patients (n = 6,808) entered in the trauma registry. Compared with the other trauma patients, the patients with adrenal hematomas had severe injuries associated with higher mortality.

Cited by 86 publications

References 13 publications

Isolated Post-traumatic Adrenal Hematoma: Detection by Bedside Ultrasound in the Emergency Department

Isolated Post-traumatic Adrenal Hematoma: Detection by Bedside Ultrasound in the Emergency Department

Imaging of adrenal and renal hemorrhage

Traumatic adrenal gland injury: epidemiology and outcomes in a major Australian trauma center

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