[Left adrenal gland hemorrhage as isolated lesions following blunt trauma]

Posttraumatic hemorrhage of the adrenals usually occurs in the right or in both glands. This report describes one case of isolated, posttraumatic hemorrhage of the left adrenal in a 56-year-old woman. US examination shows a mass, almost isoreflective with the spleen, with central bright echoes, which are characteristic of fresh hematoma. CT examination displays a dense, relatively well-defined mass lesion causing a spread of the adrenal limbs. Density measurements are typical for hematoma. Follow-up examination one week later demonstrates partial regression of the lesion in volume and density.