title: Increased incidence of adrenal gland injury in blunt abdominal trauma: a computed tomography-based study from Pakistan.
abstract: OBJECTIVE
  To determine the frequency of adrenal injuries in patients presenting with blunt abdominal trauma by computed tomography (CT).
  
  
  METHODS
  During a 6 month period from January 1, 2011 to June 30, 2011, 82 emergency CT examinations were performed in the setting of major abdominal trauma and retrospectively reviewed for adrenal gland injuries.
  
  
  RESULTS
  A total of 7 patients were identified as having adrenal gland injuries (6 males and 1 female). Two patients had isolated adrenal gland injuries. In the other 5 patients with nonisolated injuries, injuries to the liver (1 case), spleen (1 case), retroperitoneum (2 cases) and mesentery (4 cases) were identified. Overall 24 cases with liver injuries (29%), 11 cases with splenic injuries (13%), 54 cases with mesenteric injuries (65%), 14 cases (17%) with retroperitoneal injuries and 9 cases with renal injuries were identified.
  
  
  CONCLUSIONS
  Adrenal gland injury is identified in 7 patients (11.7%) out of a total of 82 patients who underwent CT after major abdominal trauma. Most of these cases were nonisolated injuries. Our experience indicates that adrenal injury resulting from trauma is more common than suggested by other reports. The rise in incidence of adrenal injuries could be attributed to the mode of injury.
authors: Department of Radiology, Liaquat National Medical College and Hospital, National Stadium Road, Karachi 74800, Pakistan.
authors: Muhammad Usman
authors: MU
authors: Aziz
authors: Saleha
authors: S
authors: Shahzad
authors: Muhammad Ayiub
authors: MA
authors: Mansoor
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology*; D000311:Adrenal Glands / Q000000981:diagnostic imaging / Q000293:injuries*; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000453:epidemiology*