Traumatic adrenal haemorrhage

Case contributed by Dr Chris O'Donnell

Presentation

Fell 2 metres off a ladder. Now mid back pain and right upper quadrant pain

Patient Data

Age: 70
Gender: Male
Modality: CT

Ovoid hyperdense mass (arrow) in the right adrenal gland associated with stranding in the perirenal fat and a subtle subcapsular collection overlying the upper pole of the right kidney. Note the T9 vertebral body fracture with anterior disc widening indicative of a severe hyperextension injury.

Case Discussion

The adrenal mass was thought by a colleague to represent a cortical adenoma but it is hyperdense (not hypodense as usually seen in adenomas) and associated with adjacent fat stranding indicative of haemorrhage. The patient has sustained a significant impact force given the thoracic vertebral fracture.

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Case Information

rID: 36516
Case created: 27th Apr 2015
Last edited: 24th Apr 2017
Inclusion in quiz mode: Included

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