A martial arts injury: karate induced unilateral haematoma of the adrenal gland

Ortu, Massimiliano; Vaccarezza, Mauro; Trovati, Serena; Galli, Massimo; Gervasoni, Cristina

doi:10.1136/bjsm.2006.026500

Cited by 7 publications

(9 citation statements)

References 5 publications

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“…In addition, the AGT observed here is similar to the other cases reporting similar injury with regard to its being unilateral and right sided [ 3 , 7 , 13 , 15 ]. In a retrospective analysis of trauma patients, Mehrazin et al .…”

Section: Discussionsupporting

confidence: 88%

“…The AGT injury presented here shares a number of similarities with the few previously reported cases of isolated unilateral AGT [ 3 , 13 – 15 ]. Like most other cases of AGT, the major complaint in this case was abdomen pain in the right upper quadrant [ 3 , 13 – 15 ]. However, an unusual aspect of this case that differentiates it from other unilateral adrenal injuries is that the pain was mild; a failure to report the severity of pain may result in underreporting of this type of injury.…”

Section: Discussionsupporting

confidence: 77%

“…Adrenal gland injuries are usually associated with other life-threatening injuries [ 1 , 2 , 12 ]. Accordingly, cases of isolated traumatic unilateral adrenal gland injuries are rare [ 3 , 13 – 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, an unusual aspect of this case that differentiates it from other unilateral adrenal injuries is that the pain was mild; a failure to report the severity of pain may result in underreporting of this type of injury. Other reported isolated unilateral adrenal injuries presenting with severe pain were the result of sports injuries [ 3 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Isolated unilateral adrenal gland hemorrhage following motor vehicle collision: a case report and review of the literature

Lehrberg

Kharbutli

2017

J Med Case Reports

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BackgroundAdrenal gland trauma is a rare condition that typically stems from blunt force trauma, and is associated with multiple organ injuries. Alternatively, isolated adrenal gland trauma is extremely rare, accounting for only 1.5 to 4% of all adrenal trauma cases. While isolated adrenal trauma is a mostly self-limiting condition, it is potentially life-threatening, representing a significant cause of bleeding, and/or hypotension due to adrenal insufficiency and adrenal crisis. Due to its rare occurrence, there are no reported guidelines for monitoring and observing isolated adrenal trauma.Case presentationHere we report on an isolated adrenal hemorrhage from a blunt trauma without associated injuries. A 53-year-old white man presented with abdominal pain after a high-speed motor vehicle accident. An initial evaluation revealed minimal abdominal pain and negative focused assessment with sonography for trauma examination; computed tomography imaging revealed a significant fluid collection consistent with adrenal hemorrhage. He was observed in our intensive care unit for 24 hours, and had stable hemoglobin and vital signs, after which he was discharged. At 1-month follow-up, he reported persistent intermittent abdominal pain, which was completely resolved by the 4-month follow-up.ConclusionsThis case report demonstrates isolated adrenal gland injury resulting from significant blunt trauma to the abdomen. There are no current guidelines for monitoring isolated adrenal hemorrhage. Recognizing possible adrenal injury in blunt trauma cases is important due to potentially severe adrenal hemorrhage; therefore, we recommend follow-up with serial abdominal computed tomography until the resolution of hemorrhage and symptoms.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Isolated unilateral adrenal gland hemorrhage following motor vehicle collision: a case report and review of the literature

Lehrberg

Kharbutli

2017

J Med Case Reports

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“…Other reported karate injuries to adolescents and adults include a blinding choroidal rupture, 22 a unilateral adrenal gland hematoma, 23 a femoral osteochondral fracture, 24 and a traumatic pseudoaneurysm of the femoral artery. 25 …”

Section: Injury Riskmentioning

confidence: 99%

Youth Participation and Injury Risk in Martial Arts

Demorest¹,

Koutures²

2016

Pediatrics

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The martial arts can provide children and adolescents with vigorous levels of physical exercise that can improve overall physical fitness. The various types of martial arts encompass noncontact basic forms and techniques that may have a lower relative risk of injury. Contact-based sparring with competitive training and bouts have a higher risk of injury. This clinical report describes important techniques and movement patterns in several types of martial arts and reviews frequently reported injuries encountered in each discipline, with focused discussions of higher risk activities. Some of these higher risk activities include blows to the head and choking or submission movements that may cause concussions or significant head injuries. The roles of rule changes, documented benefits of protective equipment, and changes in training recommendations in attempts to reduce injury are critically assessed. This information is intended to help pediatric health care providers counsel patients and families in encouraging safe participation in martial arts.

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Laparoscopic right adrenalectomy for spontaneous hemorrhage in an adrenal incidentaloma, presenting as a case of acute surgical abdomen

et al. 2016

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A martial arts injury: karate induced unilateral haematoma of the adrenal gland

Abstract: Adrenal gland haematoma is often a complication of traumatic events. The case is reported of a 45 year old man with unilateral non-symptomatic adrenal gland haematoma caused by a trauma during martial arts practice.

Cited by 7 publications

References 5 publications

Isolated unilateral adrenal gland hemorrhage following motor vehicle collision: a case report and review of the literature

Isolated unilateral adrenal gland hemorrhage following motor vehicle collision: a case report and review of the literature

Youth Participation and Injury Risk in Martial Arts

Laparoscopic right adrenalectomy for spontaneous hemorrhage in an adrenal incidentaloma, presenting as a case of acute surgical abdomen

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