Keywords:
Trauma, Endocrine disorders, Contrast agent-intravenous, CT, Emergency
Authors:
N. M. Buitrago Sanchez, M. Martí De Gracia, C. Rubio Hervás, S. Martín Pérez, C. Simón Selva, D. Mollinedo, A. Díez Tascón, P. Millán Estañ, S. Yus Teruel; Madrid/ES
DOI:
10.1594/ecr2013/C-2285
Methods and Materials
We present a descriptive study of adrenal hemorrhage (AH) in severely injured politrauma patients between the years 2005-2012 (Figs.
1 and 2).
From our database of 848 selected trauma patients requiring admission to intensive care unit (ICU) who underwent abdominal computed tomography (CT),
we selected cases which included the words "adrenal hemorrhage" or "adrenal hematoma" in the radiology report.
We analyzed the following variables: incidence,
sex,
age,
trauma mechanism,
location (right or left),
fat stranding sign, associated injuries,
need for corticosteroid replacement and mortality.
Whole body contrast enhanced CT scan during portal-venous phase acquisition was performed for all patients.
According to clinical orientation,
some cases (suspected active bleeding),
arterial phase acquisition was performed too.
We review the radiological characteristics and associated injuries.