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A Novel Method: Super-selective Adrenal Venous Sampling
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Traumatic and non-traumatic adrenal emergencies.

Victoria Chernyak1, Michael N Patlas2,3, Christine O Menias4

  • 1Department of Radiology, Montefiore Medical Center, Bronx, NY, USA.

Emergency Radiology
|October 21, 2015
PubMed
Summary

Adrenal emergencies, including hemorrhage and infection, are often found incidentally on emergency department imaging. Prompt cross-sectional imaging detection is crucial for timely diagnosis and management of these potentially life-threatening conditions.

Keywords:
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Area of Science:

  • Radiology
  • Emergency Medicine
  • Endocrinology

Background:

  • Adrenal emergencies can be traumatic or non-traumatic.
  • They often present with non-specific symptoms, leading to delayed diagnosis.
  • Cross-sectional imaging is key for detection and management.

Purpose of the Study:

  • To describe cross-sectional imaging findings of adrenal emergencies.
  • To highlight the importance of recognizing these conditions in emergency settings.
  • To emphasize timely diagnosis for preventing severe complications.

Main Methods:

  • Review of cross-sectional imaging (CT/MRI) findings.
  • Analysis of cases with traumatic and non-traumatic adrenal emergencies.
  • Correlation of imaging findings with clinical presentation.

Main Results:

  • Adrenal hematomas can indicate severe polytrauma and may be overlooked.
  • Non-traumatic emergencies often have non-specific presentations.
  • Imaging reveals hemorrhage, infarction, infection, and complications of adrenal masses.

Conclusions:

  • Adrenal emergencies require a high index of suspicion for timely diagnosis.
  • Cross-sectional imaging is vital for identifying adrenal hemorrhage, infection, and mass complications.
  • Early detection and management are essential to avoid life-threatening outcomes.