Angara Vivek, Digiacomo Jody C
Department of Surgery, Nassau University Medical Center, East Meadow, NY, 11554, USA.
Department of Surgery, Nassau University Medical Center, East Meadow, NY, 11554, USA.
Chin J Traumatol. 2020 Jun;23(3):149-151. doi: 10.1016/j.cjtee.2020.01.003. Epub 2020 Jan 24.
Adrenal gland trauma is a rare phenomenon, due to the small size and retroperitoneal location of the organ. The majority of adrenal gland trauma is due to blunt force injury and is only rarely encountered due to the penetrating mechanisms. A 20-year-old male sustained a gunshot wound to the left abdomen. Upon exploration, he was found to have a through and through injury to the left adrenal gland, among other injuries. Injury to the adrenal gland due to penetrating trauma is exceptionally rare. The principles of management are to control bleeding from the gland with debridement and hemostasis rather than attempt to resect the entire organ. The management of a penetrating injury to the adrenal gland is straightforward and should not be a contributor to a patient's morbidity or mortality.
肾上腺创伤是一种罕见现象，这是由于该器官体积小且位于腹膜后。大多数肾上腺创伤是由钝性外力损伤所致，而穿透性机制导致的肾上腺创伤则极为罕见。一名20岁男性左腹部遭受枪伤。经探查发现，除其他损伤外，他的左肾上腺有贯通伤。穿透性创伤导致的肾上腺损伤极其罕见。处理原则是通过清创和止血来控制肾上腺出血，而非试图切除整个器官。肾上腺穿透伤的处理很简单，不应增加患者的发病率或死亡率。
