Adrenal injury following blunt abdominal trauma

Yong Sang Lee, Jong Ju Jeong, Kee Hyun Nam, Woong Youn Chung, Hang-Seok Chang, Cheong Soo Park

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: Adrenal injury secondary to abdominal trauma is quite rare because the adrenal gland is located deep in the retroperitoneum and is well cushioned by surrounding soft tissues. This report presents our experiences of managing patients with adrenal injury following abdominal blunt trauma. Methods: The medical records of 11 patients who had been treated for adrenal gland injury between January 1998 and June 2009 were retrospectively reviewed. Results: Of the 11 patients, nine were male and two were female and the mean age was 31.5 years. The causes of trauma were motor vehicle accident (8 cases) and fall (3 cases). The majority of injuries occurred on the right side (8 cases), two were on the left side, and one patient had bilateral injury. Three cases presented as isolated adrenal gland injuries, and eight were combined with other internal organ injuries. The most common coinjured organ was the liver, followed by the kidney. The most useful diagnostic modality was computed tomography (CT). Ten cases were treated successfully using conservative management, while one required a left partial adrenalectomy and splenectomy due to active bleeding. Conclusions: Adrenal injury due to blunt abdominal trauma is extremely rare. The majority of cases can be diagnosed using CT. Most cases involve the right side and can be treated successfully using conservative management. Surgery is required only in cases of active bleeding.

Original languageEnglish
Pages (from-to)1971-1974
Number of pages4
JournalWorld Journal of Surgery
Volume34
Issue number8
DOIs
Publication statusPublished - 2010 Aug 1

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Nonpenetrating Wounds
Wounds and Injuries
Adrenal Glands
Tomography
Hemorrhage
Abdominal Injuries
Adrenalectomy
Motor Vehicles
Splenectomy
Accidents
Medical Records

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Lee, Y. S., Jeong, J. J., Nam, K. H., Chung, W. Y., Chang, H-S., & Park, C. S. (2010). Adrenal injury following blunt abdominal trauma. World Journal of Surgery, 34(8), 1971-1974. https://doi.org/10.1007/s00268-010-0537-x
Lee, Yong Sang ; Jeong, Jong Ju ; Nam, Kee Hyun ; Chung, Woong Youn ; Chang, Hang-Seok ; Park, Cheong Soo. / Adrenal injury following blunt abdominal trauma. In: World Journal of Surgery. 2010 ; Vol. 34, No. 8. pp. 1971-1974.
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Lee, YS, Jeong, JJ, Nam, KH, Chung, WY, Chang, H-S & Park, CS 2010, 'Adrenal injury following blunt abdominal trauma', World Journal of Surgery, vol. 34, no. 8, pp. 1971-1974. https://doi.org/10.1007/s00268-010-0537-x

Adrenal injury following blunt abdominal trauma. / Lee, Yong Sang; Jeong, Jong Ju; Nam, Kee Hyun; Chung, Woong Youn; Chang, Hang-Seok; Park, Cheong Soo.

In: World Journal of Surgery, Vol. 34, No. 8, 01.08.2010, p. 1971-1974.

Research output: Contribution to journalArticle

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