Hyperdense adrenal gland sign in pediatric hypovolemic shock
Passenger in car accident with blunt bowel trauma.
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Intense bilateral adrenal gland enhancement.
Multiple internal injuries, including extensive liver laceration and hemoperitoneum.
1 case question available
Bilateral adrenal gland hyperenhancement has been described in pediatric hemorrhagic shock, pancreatitis, sepsis and trauma.
When identified, adrenal hyperenhancement may bode a poor outcome and is a strong indicator of severe hypovolemic shock.
- Johnson P, Fishman E. American Journal of Roentgenology. 2010;195 (1): . doi:10.2214/AJR.09.4076