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Adrenal injury following blunt abdominal trauma

DC Field Value Language
dc.contributor.author남기헌-
dc.contributor.author박정수-
dc.contributor.author이용상-
dc.contributor.author장항석-
dc.contributor.author정웅윤-
dc.contributor.author정종주-
dc.date.accessioned2015-04-23T16:50:06Z-
dc.date.available2015-04-23T16:50:06Z-
dc.date.issued2010-
dc.identifier.issn0364-2313-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101317-
dc.description.abstractBACKGROUND: 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-
dc.description.statementOfResponsibilityopen-
dc.format.extent1971~1974-
dc.relation.isPartOfWORLD JOURNAL OF SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdrenal Glands/diagnostic imaging-
dc.subject.MESHAdrenal Glands/injuries*-
dc.subject.MESHAdrenal Glands/surgery*-
dc.subject.MESHAdrenalectomy-
dc.subject.MESHAdult-
dc.subject.MESHChild-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSplenectomy-
dc.subject.MESHTomography, X-Ray Computed-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHWounds, Nonpenetrating/complications*-
dc.subject.MESHWounds, Nonpenetrating/diagnostic imaging-
dc.subject.MESHWounds, Nonpenetrating/surgery*-
dc.titleAdrenal injury following blunt abdominal trauma-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorYong Sang Lee-
dc.contributor.googleauthorJong Ju Jeong-
dc.contributor.googleauthorKee-Hyun Nam-
dc.contributor.googleauthorWoong Youn Chung-
dc.contributor.googleauthorHang-Seok Chang-
dc.contributor.googleauthorCheong Soo Park-
dc.identifier.doi10.1007/s00268-010-0537-x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02978-
dc.contributor.localIdA03488-
dc.contributor.localIdA03674-
dc.contributor.localIdA03722-
dc.contributor.localIdA01646-
dc.contributor.localIdA01245-
dc.relation.journalcodeJ02802-
dc.identifier.eissn1432-2323-
dc.identifier.pmid20352213-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00268-010-0537-x-
dc.subject.keywordAdrenal Gland-
dc.subject.keywordInferior Vena Cava-
dc.subject.keywordActive Bleeding-
dc.subject.keywordMotor Vehicle Accident-
dc.subject.keywordBlunt Abdominal Trauma-
dc.contributor.alternativeNameNam, Ki Heon-
dc.contributor.alternativeNamePark, Cheong Soo-
dc.contributor.alternativeNameLee, Yong Sang-
dc.contributor.alternativeNameChang, Hang Seok-
dc.contributor.alternativeNameChung, Woung Youn-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.affiliatedAuthorLee, Yong Sang-
dc.contributor.affiliatedAuthorChang, Hang Seok-
dc.contributor.affiliatedAuthorChung, Woung Youn-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.contributor.affiliatedAuthorPark, Cheong Soo-
dc.contributor.affiliatedAuthorNam, Kee Hyun-
dc.citation.volume34-
dc.citation.number8-
dc.citation.startPage1971-
dc.citation.endPage1974-
dc.identifier.bibliographicCitationWORLD JOURNAL OF SURGERY, Vol.34(8) : 1971-1974, 2010-
dc.identifier.rimsid49434-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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