[Adrenal injury in blunt abdominal trauma].
10 patients with adrenal damage were observed during 2.5 years. It amounted 0.93% of all patients with closed abdominal injuries. The right adrenal gland was traumatized in all cases evidently due to it's compression between right lobe of liver and vertebral column. Adrenal damage is observed quite often in combination with injuries of right liver lobe, right kidney and retroperitoneal hematoma formation. 5 patients underwent laparotomy on account of intra-abdominal bleeding, but adrenal damage was never revealed. Ultrasound and tomographic semiotics of adrenal damage was worked out, which allowed ascertaining diagnosis in 80% on application of ultrasound study and in 100% at computer tomography. Injury of one adrenal gland was not accompanied by adrenal failure and did not require hormonal replacement therapy.
Abakumov
M M
MM
Smoliar
A N
AN
Barmina
T G
TG
Boĭko
A V
AV
Shalimova
I G
IG
D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D000311:Adrenal Glands / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D004322:Drainage; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007813:Laparotomy; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery