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J Korean Soc Emerg Med > Volume 15(4); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(4): 308-310.
Solitary Adrenal Hemorrhage in Blunt Abdominal Trauma: A case report
Se Jin Kim, Sung Chan Oh, Sang Lae Lee, Suk Jin Cho, Seok Yong Ryu, Hong Yong Kim
Department of Emergency Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. ryuchoi64@sanggyepaik.ac.kr
Several conditions are associated with adrenal hemorrhage, such as stress (e.g., in the postoperative state, with severe burns, or after myocardial infarction), sepsis, pregnancy, coagulopathy, thromboembolic or vascular disorders, treatment with ACTH, adrenal cysts, or tumors. Hemorrhage of adrenal glands in blunt abdominal trauma is rare because the adrenal glands are well protected due to their deep location and small size. In case of injury, injuries are mostly multiple injuries to the abdominal organs of the affected side. The exact cause for traumatic adrenal hemorrhage is not known. Among the factors discussed are systemic hypertension, direct compression of the adrenals, or shearing of small vessels, as well as a sudden rise in venous pressure. We report a rare case of right adrenal hemorrhage in a 10-year-old boy who experienced solitary right adrenal hemorrhage in blunt right upper quadrant abdominal trauma without liver or right kidney injury, or any other abnormality.
Key words: Adrenal glands, Hemorrhage, Abdominal injuries
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