J Korean Soc Radiol.  2016 Dec;75(6):508-511. 10.3348/jksr.2016.75.6.508.

Endovascular Treatment of a Post-Traumatic Adrenal Hemorrhage in a Pediatric Patient: A Case Report

• Kim DG
• Jung HS

• KMID: 2360440
• DOI: http://doi.org/10.3348/jksr.2016.75.6.508

Abstract

Adrenal hemorrhage following blunt trauma is a rare occurrence. We report here the case of a 5-year-old child with adrenal hemorrhage, which developed as a result of an accidental fall. Embolization treatment of adrenal hemorrhage was successfully performed. To the best of our knowledge, this is the first report of adrenal hemorrhage occurring in a child which was treated with transcatheter embolization.

MeSH Terms

Accidental Falls
Adrenal Glands
Child
Child, Preschool
Embolization, Therapeutic
Hemorrhage*
Humans

Figure

• 

  Fig. 1 Contrast-enhanced computed tomography demonstrating a retroperitoneal hematoma with contrast extravasation into the right adrenal gland (solid arrows), segmental renal infarction in the right kidney (arrowhead), and multifocal liver lacerations (open arrows).

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  Fig. 2 RIPA arteriography demonstrating the superior (solid arrow), middle (arrowhead), and inferior (open arrow) adrenal arteries originating from the RIPA and extravasation of contrast medium. RIPA = right inferior phrenic artery

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  Fig. 3 Follow-up RIPA arteriography (A) revealing adrenal parenchymal staining via the inferior adrenal artery (arrows), but extravasation of contrast medium was unclear. During preventive embolization via the common trunk of the RIPA (B), a pseudoaneurysm (arrowheads) was detected. Additional embolization was performed. Final angiography (C) revealing complete embolization of the pseudoaneurysm in the adrenal parenchyma. There is no further evidence of active bleeding. RIPA = right inferior phrenic artery

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