Traumatic adrenal hemorrhage in children: an indicator of visceral injury.
Adrenal hemorrhage (AH) was identified in 1% of 313 children admitted to the trauma unit with abdominal or thoracoabdominal blunt trauma within a 10-year period (1989-1999). Ultrasound examination was useful as a first diagnostic measure in stable children, but computed tomography (CT) is considered to be a better diagnostic tool. Associated visceral injury is common, and liver trauma was present in all 3 cases. Lesions are mainly right-sided, but left-sided or bilateral injuries have also been reported. A few cases are only recognized during surgery or necropsy. Lower-chest injury was seen in one-half of the cases and can result in severe morbidity. AH should not be considered rare, and the widespread use of CT proves that it is a strong indicator of associated visceral injury.
Iuchtman
M
M
Department of Pediatric Surgery, Hillel Yaffe Medical Center, Hadera, Israel.
Breitgand
A
A
D000307:Adrenal Gland Diseases / Q000175:diagnosis / Q000209:etiology*; D000311:Adrenal Glands / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D014781:Viscera / Q000293:injuries*