Hyperdense adrenal gland sign in paediatric hypovolemic shock

Case contributed by Dr C.Igler

Presentation

Passenger in car accident with blunt bowel trauma.

Patient Data

Age: 14
Gender: Male

Intense bilateral adrenal gland enhancement.

Multiple internal injuries, including extensive liver laceration and haemoperitoneum.

Case Discussion

Bilateral adrenal gland hyperenhancement has been described in paediatric haemorrhagic shock, pancreatitis, sepsis and trauma.

The pathophysiology of this CT finding is discussed to be part of the CT hypoperfusion complex.

When identified, adrenal hyperenhancement may bode a poor outcome and is a strong indicator of severe hypovolemic shock.

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Case information

rID: 42492
Case created: 23rd Jan 2016
Last edited: 25th Oct 2016
Inclusion in quiz mode: Included

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