Year : 2021  |  Volume : 33  |  Issue : 2  |  Page : 56-58

Isolated adrenal gland hematoma after blunt abdominal trauma: A case report and literature review

Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece

Correspondence Address:
Savvas Tsakiris
Ampelokipoi 11526, Athens
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/HUAJ.HUAJ_45_21

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Isolated traumatic adrenal gland hematoma is a very rare condition. Our aim is to present a case of an isolated traumatic hematoma of the adrenal gland after a low-speed motorcycle accident without other associated injuries. A 30-year-old Caucasian male presented to the emergency department complaining of intense upper abdominal pain associated with shortness of breath. Trauma ultrasonography assessment, focused assessment with ultrasonography for trauma, was negative; emergency computed tomography (CT) imaging revealed a well-defined 3.8 cm × 2.8 cm mass in the location of his right adrenal gland. He was hospitalized for 48 h and was discharged hemodynamically stable, with normal hemoglobin levels. CT imaging at 1-month follow-up revealed a decrease in hematoma size and complete resolution of symptoms. Conservative treatment may be the method of choice for adrenal trauma, provided that patients remain hemodynamically stable and closely monitored.

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