2021
DOI: 10.1097/ta.0000000000003320
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Blunt adrenal gland injury: The impact of extra-abdominal injury

Abstract: BACKGROUND:Blunt adrenal gland injuries are considered uncommon. Moreover, the factors associated with the mechanisms of the injury following blunt trauma are unclear. In this study, we determined the factors associated with blunt adrenal gland injury (BAGI). MATERIALS AND METHODS: A total of 315 patients with blunt abdominal trauma were admitted to our institution during a 12-year period. After excluding 26 patients who were under 18 years old and 27 patients who were in cardiopulmonary arrest on arrival, 262… Show more

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Cited by 3 publications
(2 citation statements)
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“…Serum hormone tests ruled out neoplasia and the enlargement was attributed to trauma (1) . Blunt trauma predominantly affects the right adrenal gland (1) , (2) , (3) owing to its proximity to vertebrae and drainage through the inferior vena cava (1) , (4) ; the patient’s left-sided injury could be attributed to situs inversus. As with other reports (2) , (3) , (4) , this case was nonoperative and successfully managed in the primary care setting.…”
mentioning
confidence: 99%
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“…Serum hormone tests ruled out neoplasia and the enlargement was attributed to trauma (1) . Blunt trauma predominantly affects the right adrenal gland (1) , (2) , (3) owing to its proximity to vertebrae and drainage through the inferior vena cava (1) , (4) ; the patient’s left-sided injury could be attributed to situs inversus. As with other reports (2) , (3) , (4) , this case was nonoperative and successfully managed in the primary care setting.…”
mentioning
confidence: 99%
“…Blunt trauma predominantly affects the right adrenal gland (1) , (2) , (3) owing to its proximity to vertebrae and drainage through the inferior vena cava (1) , (4) ; the patient’s left-sided injury could be attributed to situs inversus. As with other reports (2) , (3) , (4) , this case was nonoperative and successfully managed in the primary care setting. Our incidental discovery of situs inversus highlights one potentially disastrous consequence of estimating injury severity based on conventional anatomical features and eschewing diagnostic imaging.…”
mentioning
confidence: 99%