Traumatic adrenal haemorrhage secondary to blunt injury

• Main Author: Cheah, Wai Hun
• Format: Article
• Language: English
• Published: 2018
• Subjects: RD Surgery
• Online Access: http://eprints.unisza.edu.my/5633/1/FH02-FP-19-25190.pdf; http://eprints.unisza.edu.my/5633/

Adrenal gland injury secondary to blunt abdominal trauma is relatively uncommon. The estimated incidence rate of the injury is approximately 2–3%. The non-specific clinical manifestations and lack of specific biochemical markers make its diagnosis difficult. Contrast-enhanced CT remains the gold standard for detecting this injury and its associated complications. Patient with bilateral adrenal injury should be carefully monitored as they are prone to develop life-threatening adrenal insufficiency and its complications. Majority of these patients are managed conservatively and surgery is only required in cases of active bleeding. However follow-up is required to ensure complete resolution of the haemorrhage and to rule out a true adrenal mass. We report a case of unilateral adrenal haemorrhage secondary to motor vehicle accident.