Galindo Gabriel Franco de Camargo, Pagamisse Otávio Soriano Teruel, De Lima Rafael, Oliveira Elis, Hernanes Vitor, da Silva José Mauro, Ribeiro Marcelo Augusto Fontenelle
General Surgery Resident, Pontifical Catholic University of São Paulo, Brazil.
Trauma Surgery Resident, Pontifical Catholic University of São Paulo, Brazil.
Trauma Case Rep. 2021 Mar 11;32:100454. doi: 10.1016/j.tcr.2021.100454. eCollection 2021 Apr.
Adrenal gland trauma is a rare and scarcely reported injury due to its retroperitoneal position and relationship with adjacent tissues. We report a male patient with a history of a thoracoabdominal blunt trauma with adrenal injury as an isolated abdominal viscera. He was hemodynamically stable at admission, with a blush within his adrenal hematoma. The patient was treated nonoperatively and subsequently discharged after 15 days. The available literature reports advantages of a nonoperative approach compared to surgery, which is necessary in only 1% of cases that are predominantly polytrauma patients with multiple intra-abdominal injuries. Therefore, a nonoperative treatment is recommended for patients with an isolated adrenal gland injury who are hemodynamically stable during hospital stay.
肾上腺创伤因其腹膜后位置以及与相邻组织的关系，是一种罕见且鲜有报道的损伤。我们报告一例男性患者，有胸腹钝性创伤史，肾上腺损伤为孤立的腹部脏器损伤。入院时他血流动力学稳定，肾上腺血肿内有造影剂外渗。该患者接受非手术治疗，15天后出院。现有文献报道，与手术相比，非手术治疗具有优势，手术仅在1%的病例中是必要的，这些病例主要是伴有多处腹部脏器损伤的多发伤患者。因此，对于住院期间血流动力学稳定的孤立肾上腺损伤患者，建议采用非手术治疗。
