DELAYED RUPTURE OF ADRENAL GLAND FOLLOWING BLUNT TRAUMA : A CASE REPORT

Abstract

　　As the adrenal glands are enveloped in the Gerota fascia, which have packing effects, cases of traumatic adrenal injury are self-limiting. An 85-year-old man was suspected of having duodenal injury and right adrenal gland injury due to blunt trauma. Although preservative treatment was carried out, sudden right abdominal pain was observed on day 20 of hospitalization. He was diagnosed with delayed adrenal rupture by contrast-enhanced CT examination and emergency transcatheter embolization was performed. Although delayed rupture of the adrenal gland has not been previously reported and is rare, rapid diagnosis and hemostasis treatment are necessary.