title: Adrenal gland trauma: diagnosis and management.
abstract: We describe 14 patients with adrenal injuries from penetrating (ten) or blunt (four) trauma. The severity of their injuries was evidenced by the high incidence of hypovolemic shock (57%), mean Trauma Score (11), mean transfusion requirement (18 Units), number of associated injuries (4.9 per patient), complication rate (57%), and deaths (14%). Twelve patients required surgical exploration; adrenal repair, rather than removal, was possible in seven. Although adrenal insufficiency was suspected in three patients, it was not documented and no patient required corticosteroid replacement.
authors.affiliation: Department of Urology, University of California School of Medicine, San Francisco.
authors.forename: R G
authors.initials: RG
authors.lastname: Gómez
authors.forename: J W
authors.initials: JW
authors.lastname: McAninch
authors.forename: P R
authors.initials: PR
authors.lastname: Carroll
mesh_terms: D000293:Adolescent; D000311:Adrenal Glands / Q000293:injuries*; D000315:Adrenalectomy / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000706:statistics & numerical data; D003646:Debridement / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006487:Hemostasis; D006801:Humans; D015994:Incidence; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012769:Shock / Q000453:epidemiology / Q000209:etiology; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*