title: Adrenal rupture after blunt abdominal trauma.
abstract: The case of a patient, victim of a car accident, with rupture of the left adrenal gland associated with splenic rupture and liver laceration is reported. Injury of the adrenal glands is most frequently caused by blunt abdominal trauma and is usually associated with injuries of other abdominal organs. Careful exploration of the upper retroperitoneal space where adrenals are located is considered necessary during laparotomy for severe blunt abdominal trauma. If adrenal lesion has been overlooked continuous hemorrhage may occur, which could be lethal if not promptly treated.
authors.affiliation: 2nd Department of Propedeutic Surgery, University of Athens, School of Medicine, Laiko General Hospital, Athens, Greece.
authors.forename: M
authors.initials: M
authors.lastname: Safioleas
authors.forename: M
authors.initials: M
authors.lastname: Stamatakos
authors.forename: C
authors.initials: C
authors.lastname: Safioleas
authors.forename: R
authors.initials: R
authors.lastname: Iannescu
authors.forename: P
authors.initials: P
authors.lastname: Safioleas
authors.forename: D
authors.initials: D
authors.lastname: Mantas
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D000063:Accidents, Traffic; D000311:Adrenal Glands / Q000293:injuries* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008099:Liver / Q000293:injuries / Q000601:surgery; D009104:Multiple Trauma / Q000601:surgery*; D012421:Rupture; D013161:Splenic Rupture / Q000601:surgery; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000601:surgery*