Abstract
Posttraumatic adrenal hemorrhage is a frequent finding after severe abdominal trauma and can have important clinical implications if it is bilateral. With the increased use of helical CT in the evaluation of trauma patients, posttraumatic adrenal hematoma is more frequently diagnosed. We present the CT findings of a unilateral posttraumatic adrenal hemorrhage where the diagnostic findings only appeared in the follow-up study. We think that mild enlargement of the adrenal gland in a trauma patient can be an early sign of an impending adrenal hemorrhage.
Similar content being viewed by others
References
Sevitt S (1955) Post-traumatic adrenal apoplexy. J Clin Pathol 8: 185–194
Murphy J, Casillas J, Yrizarry J (1988) Traumatic adrenal hemorrhage: radiologic findings. Radiology 169: 701–703
Wilms G, Marchal G, Beart A, Adisoejoso B, Mangkuwerdojo S (1987) CT and ultrasound features of post-traumatic adrenal hemorrhage. J Comput Assist Tomogr 11:112–115
Burks DW, Mirvis SE, Shanmuganathan K (1992) Acute adrenal injury after blunt abdominal trauma: CT findings. AJR 158: 503–507
Sivit CJ, Ingram DJ, Taylor GA, Bulas DI, Kushner DC, Eichelberger MR (1992) Posttraumatic adrenal hemorrhage in children: CT findings in 34 patients. AJR 158:1299–1302
Valls C, Andia E, Gil I (1992) Bilateral posttraumatic adrenal hemorrhage deteceted with CT. AJR 159: 433–434
Rao RH, Vagnucci AH, Amico JA (1989) Bilateral massive adrenal hemorrhage: early recognition and treatment. Ann Intern Med 110: 227–235
Scully RE, Mark EJ, McNeely BU (1984) Case 38, case records of Massachusetts General Hospital: weekly clinicopathological exercises. N Engl J Med 311: 783–790
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Oto, A., Özgen, B., Akhan, O. et al. Delayed posttraumatic adrenal hematoma. Eur. Radiol. 10, 903–905 (2000). https://doi.org/10.1007/s003300051033
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s003300051033