Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Original Article

Volume 2, Number 4-5, October 2012, pages 123-129

Adrenal Injuries and Incidentalomas in Trauma Patients at an Urban Trauma Centre

Figure

Figure 1.
Figure 1. Algorithm for the evaluation and follow-up of incidental adrenal lesions identified during trauma workup. *Biochemical Studies include 24-hour urine catecholamines and cortisol, serum cortisol, plasma free metanephrines, aldosterone, rennin, estrogen, testosterone, dehydroepiandrosterone sulfate (DHEA-S), and potassium.

Tables

Table 1. Demographic Data of Adrenal Injury Group (N = 142)
 
Number (%)
†MVA: Motor vehicle accident; ‡MCA: Motorcycle accident; §MPA: motor pedestrian accident; ||Includes falls, pedal-cycle accidents, horse-related accidents, machinery-related accidents, electricity or fire related accidents, and other transport related accidents.
Sex
  Male107 (75)
  Female35 (25)
Side of Injury
  Right104 (73) P < 0.001
  Left27 (19)
  Bilateral7 (5)
  Unspecified4 (3)
Type of injury
  Blunt141 (99)
  Penetrating1 (1)
Mechanism of injury
  MVA†71 (50)
  MCA‡40 (28)
  MPA§11 (8)
  Other||20 (14)

 

Table 2. Cause of Death in Adrenal Injury Group (N = 19)
 
Number (%)
Multiorgan failure7 (37%)
Severe traumatic brain injury5 (26%)
Multiple system severe injuries3 (16%)
History missing or destroyed4 (21%)
Total19 (100%)

 

Table 3. Demographic Data of Adrenal Incidentaloma Group (N =26)
 
Number (%)
Sex
  Male16 (62)
  Female10 (38)
Side of lesion
  Left18 (69)
  Right6 (23)
  Bilateral2 (8)
Mean size (cm) (Range)2.38 (1.2 - 4.3)

 

Table 4. Demographic Data of Adrenalectomy Patients
 
PatientAgeSexMechanism Of Injury
160FMotor vehicle accident - passenger
260MFall from a low height
332MMotor vehicle accident - driver