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Pediatric Surgery International

, Volume 16, Issue 8, pp 586–588 | Cite as

Traumatic adrenal hemorrhage in children: an indicator of visceral injury

  • M. Iuchtman
  • A. Breitgand
ORIGINAL ARTICLE

Abstract

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.

Key words Pediatric trauma Trauma Adrenal mass Traumatic adrenal hemorrhage 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • M. Iuchtman
    • 1
  • A. Breitgand
    • 2
  1. 1.Department of Pediatric Surgery, Hillel Yaffe Medical Center, Hadera 38100, IsraelIL
  2. 2.Department of Roentgenology, Rappaport Medical School, Haifa, IsraelIL

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