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Unilateral Traumatic Adrenal Hemorrhage with Shock
Ankur Verma1, Sanjay Jaiswal1, Kushagra Gupta1
1Department of Emergency Medicine, Max Super Specialty Hospital, New Delhi, India.
Journal of Emergencies, Trauma, and Shock
|May 14, 2023
Summary
Adrenal gland trauma is rare and difficult to diagnose due to varied symptoms and limited markers. Early detection of adrenal insufficiency in trauma patients is crucial for effective management and improving outcomes.
Area of Science:
- Trauma surgery
- Endocrinology
- Radiology
Background:
- Adrenal gland trauma is an uncommon injury.
- Clinical presentations vary widely, complicating diagnosis.
- Computed tomography (CT) is the primary imaging modality for detecting adrenal injuries.
Observation:
- A 33-year-old male trauma patient presented with refractory shock.
- Initial management failed to stabilize the patient's condition.
- A right adrenal hemorrhage was identified as the cause of shock and adrenal crisis.
Findings:
- The patient experienced adrenal crisis secondary to adrenal hemorrhage.
- Despite resuscitation efforts in the Emergency Department, the patient's condition deteriorated.
- The patient demised 10 days after admission.
Implications:
- Prompt diagnosis of adrenal insufficiency in trauma is critical.
- Adrenal insufficiency can lead to significant morbidity and mortality.
- This case highlights the importance of considering adrenal injury in undifferentiated shock in trauma patients.
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