Article Text
Abstract
A 35-year-old man was admitted to hospital in a state of haemorrhagic shock after a road traffic accident. A right adrenal gland injury associated with a retroperitoneal haematoma was diagnosed by CT scan. Haemostatic surgery (without adrenal gland resection) was performed instead of angioembolisation because of an associated abdominal compartment syndrome. The outcome was favourable. The objective of this case report is to illustrate the importance of the early diagnosis of adrenal gland injuries after trauma which, though uncommon and frequently overlooked or discovered fortuitously by CT scan, can be life-threatening. Angioembolisation or surgery may be necessary in cases of uncontrolled bleeding or the development of abdominal compartmental syndrome.
- Trauma
- abdomen
- accidental
- resuscitation
- clinical care
- diagnosis
- emergency care systems
- emergency departments
- advanced practitioner
- major trauma management
- intensive care
- musculo-skeletal
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Footnotes
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Competing interests None.
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Patient consent Obtained.
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Ethics approval This clinical case report refers to an emergency situation so Institutional Review Board approval could not be obtained.
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Provenance and peer review Not commissioned; internally peer reviewed.