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Adrenal injury following blunt abdominal trauma

Authors
 Yong Sang Lee  ;  Jong Ju Jeong  ;  Kee-Hyun Nam  ;  Woong Youn Chung  ;  Hang-Seok Chang  ;  Cheong Soo Park 
Citation
 WORLD JOURNAL OF SURGERY, Vol.34(8) : 1971-1974, 2010 
Journal Title
WORLD JOURNAL OF SURGERY
ISSN
 0364-2313 
Issue Date
2010
MeSH
Adolescent ; Adrenal Glands/diagnostic imaging ; Adrenal Glands/injuries* ; Adrenal Glands/surgery* ; Adrenalectomy ; Adult ; Child ; Female ; Humans ; Infant ; Male ; Middle Aged ; Retrospective Studies ; Splenectomy ; Tomography, X-Ray Computed ; Treatment Outcome ; Wounds, Nonpenetrating/complications* ; Wounds, Nonpenetrating/diagnostic imaging ; Wounds, Nonpenetrating/surgery*
Keywords
Adrenal Gland ; Inferior Vena Cava ; Active Bleeding ; Motor Vehicle Accident ; Blunt Abdominal Trauma
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
Full Text
http://link.springer.com/article/10.1007%2Fs00268-010-0537-x
DOI
10.1007/s00268-010-0537-x
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
Yonsei Authors
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101317
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