Adrenal injuries following blunt abdominal trauma in children: Report of two cases

Adrenal injuries following blunt abdominal trauma are uncommon. Adrenal hemorrhage in children associated with multiple organ injury, has received little attention in the past, and is an increasingly recognized phenomenon in modern trauma centers with the wide-spread use of abdominal computed tomography (CT). Adrenal trauma occurs in the setting of multisystem organ injury. Isolated adrenal injury is exceedingly rare. We report two children with blunt adrenal trauma (one with isolated and one with associated injuries), who were admitted to our pediatric surgery department after abdominal trauma during the last two years. We determined the prevalence, management and general prognosis of blunt adrenal injury in pediatric population. Traumatic adrenal hemorrhage appears to be an incidental and unsuspected finding that resolves on follow up imaging.