Pediatric Surgery Department, Hippokration General Hospital of Thessaloniki, Macedonia, Greece.
Asian J Surg. 2011 Jul;34(3):103-10. doi: 10.1016/j.asjsur.2011.08.003. Epub 2011 Oct 22.
A retrospective review of the literature was performed to determine the natural history, prevalence, prognosis and management of adrenal injury associated with blunt abdominal trauma in pediatric population. Blunt adrenal injury in children is uncommon, rarely isolated, and typically present as part of a multi organ trauma. Adrenal hemorrhage is being diagnosed more frequently since the emergence of computed tomography in modern emergency rooms. Obstetric birth trauma during vaginal delivery of a macrosomic fetus may result in neonatal adrenal hemorrhage. In children appear to be an incidental finding that resolves on follow-up imaging. Most of these injuries are self-limited and do not require intervention. The differential diagnosis of an adrenal neoplasm, especially in children with an isolated adrenal hemorrhage, must be considered. The presence of adrenal hemorrhage in the absence of a trauma history should alert to the possibility of pediatric inflicted injury.
对文献进行回顾性分析，以确定儿童钝性腹部创伤相关肾上腺损伤的自然史、患病率、预后和治疗。儿童的钝性肾上腺损伤并不常见，很少孤立发生，通常作为多器官创伤的一部分出现。自从现代急诊室出现计算机断层扫描以来，肾上腺出血的诊断越来越频繁。阴道分娩巨大胎儿时的产科分娩创伤可能导致新生儿肾上腺出血。在儿童中，肾上腺出血似乎是一种偶然发现，在随访影像学检查中会自行消退。这些损伤大多数是自限性的，不需要干预。必须考虑肾上腺肿瘤的鉴别诊断，尤其是在孤立性肾上腺出血的儿童中。在没有外伤史的情况下出现肾上腺出血，应警惕是否为儿童虐待所致。
