Hyperdense adrenal gland sign in pediatric hypovolemic shock

Case contributed by Dr Christof Igler


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 hemoperitoneum.

Case Discussion

Bilateral adrenal gland hyperenhancement has been described in pediatric hemorrhagic 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
Published: 27th Mar 2016
Last edited: 21st Jun 2021
Inclusion in quiz mode: Included

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