Ankur Verma, Sanjay Jaiswal, Kushagra Gupta, Wasil Rasool Sheikh, Amit Vishen, Meghna Haldar, Rinkey Ahuja, Abbas Ali Khatai, Nilesh Prasad
{"title":"单侧外伤性肾上腺出血伴休克。","authors":"Ankur Verma, Sanjay Jaiswal, Kushagra Gupta, Wasil Rasool Sheikh, Amit Vishen, Meghna Haldar, Rinkey Ahuja, Abbas Ali Khatai, Nilesh Prasad","doi":"10.4103/jets.jets_37_22","DOIUrl":null,"url":null,"abstract":"<p><p>Trauma to the adrenal glands is very rare. The variation in clinical manifestations is marked and markers for its diagnosis being limited, makes it tough to be diagnosed. Computed tomography remains the gold standard for detecting this injury. Prompt recognition and the potential for mortality with adrenal insufficiency can provide the best guidance for the treatment and care of the severely injured. We present a case of a 33-year-old trauma patient who was not responding to the management of his shock. He was finally found to have a right adrenal haemorrhage leading to adrenal crisis. The patient was resuscitated in the Emergency Department but succumbed 10 days post admission.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167825/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unilateral Traumatic Adrenal Hemorrhage with Shock.\",\"authors\":\"Ankur Verma, Sanjay Jaiswal, Kushagra Gupta, Wasil Rasool Sheikh, Amit Vishen, Meghna Haldar, Rinkey Ahuja, Abbas Ali Khatai, Nilesh Prasad\",\"doi\":\"10.4103/jets.jets_37_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Trauma to the adrenal glands is very rare. The variation in clinical manifestations is marked and markers for its diagnosis being limited, makes it tough to be diagnosed. Computed tomography remains the gold standard for detecting this injury. Prompt recognition and the potential for mortality with adrenal insufficiency can provide the best guidance for the treatment and care of the severely injured. We present a case of a 33-year-old trauma patient who was not responding to the management of his shock. He was finally found to have a right adrenal haemorrhage leading to adrenal crisis. The patient was resuscitated in the Emergency Department but succumbed 10 days post admission.</p>\",\"PeriodicalId\":15692,\"journal\":{\"name\":\"Journal of Emergencies, Trauma, and Shock\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167825/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Emergencies, Trauma, and Shock\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jets.jets_37_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/2/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergencies, Trauma, and Shock","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jets.jets_37_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/24 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Unilateral Traumatic Adrenal Hemorrhage with Shock.
Trauma to the adrenal glands is very rare. The variation in clinical manifestations is marked and markers for its diagnosis being limited, makes it tough to be diagnosed. Computed tomography remains the gold standard for detecting this injury. Prompt recognition and the potential for mortality with adrenal insufficiency can provide the best guidance for the treatment and care of the severely injured. We present a case of a 33-year-old trauma patient who was not responding to the management of his shock. He was finally found to have a right adrenal haemorrhage leading to adrenal crisis. The patient was resuscitated in the Emergency Department but succumbed 10 days post admission.